Provider Demographics
NPI:1376393371
Name:HIGHER AIM TRANSITIONAL HOUSING LLC
Entity type:Organization
Organization Name:HIGHER AIM TRANSITIONAL HOUSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:CARTER MAYES
Authorized Official - Suffix:
Authorized Official - Credentials:HOUSING PROVIDER
Authorized Official - Phone:562-299-3789
Mailing Address - Street 1:16809 BELLFLOWER BLVD # 429
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5901
Mailing Address - Country:US
Mailing Address - Phone:562-299-3789
Mailing Address - Fax:
Practice Address - Street 1:1033 E VIRGINIA AVE STE 429
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-2937
Practice Address - Country:US
Practice Address - Phone:562-299-3789
Practice Address - Fax:626-335-9278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1376393371Medicaid