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WINGS OF REFUGE INC NPI 1639466329


NPI Information

NPI: 1639466329
Provider Name: WINGS OF REFUGE, INC

Other Name: WINGS OF RECOVERY-CRENSHAW HIGH SCHOOL

Classification: Exclusive Provider Organization - 302F00000X
Entity Type: Organization
Address:
5010 11TH AVE
LOS ANGELES, CA
ZIP 90043
Phone: (323) 296-5370
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WINGS OF REFUGE, INC is an exclusive provider organization in Los Angeles, CA. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. WINGS OF REFUGE, INC NPI is 1639466329. The provider is registered as an organization entity type.
The provider Other Name Is Wings Of Recovery-crenshaw High School.

The provider's business location address is:

5010 11TH AVE
LOS ANGELES, CA
ZIP 90043-816
Phone: (323) 296-5370
Fax: (323) 292-6712

The provider's authorized official is Renee G Moncito .
The authorized official title is President & Ceo and has the following contact phone number (310) 709-8977.

The enumeration date for this NPI number is 7/1/2011 and was last updated on 7/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1302F00000XExclusive Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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