NPIMap

Organization Active NPI

Good Heart Recovery, LLC.

  • Substance Abuse Rehabilitation Facility
  • Sherman Oaks, CA
National Provider Identifier
1003576315
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GOOD HEART RECOVERY, LLC.
Practice address
15649 Woodfield PL
Sherman Oaks, CA 91403-4236
Phone
(877) 769-8977
NPI assigned
Dec 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brooke Zimmerman
Title
VP of Revenue Cycle
Phone
(217) 649-5309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

15649 Woodfield PL
Sherman Oaks, CA 91403-4236

Mailing address

27130 Paseo Espada Ste A1423
San Juan Capistrano, CA 92675-6712

National Provider Directory

National Provider Directory
Tax ID family
Good Heart Recovery LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1003576315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27130 PASEO ESPADA STE A1423",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15649 WOODFIELD PL",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034236",
            "telephone_number": "877-769-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEART RECOVERY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "217-649-5309"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.