Active NPI
Destinations to Recovery, LLC
- Psychiatric Residential Treatment Facility
- Woodland Hills, CA
National Provider Identifier
1013555069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- DESTINATIONS TO RECOVERY, LLC
- Practice address
- 22842 Hatteras St
Woodland Hills, CA 91367-4231 - Phone
- (818) 737-2221
- NPI assigned
- Dec 19, 2019
- Organization subpart
- Yes
- Parent organization
- DESTINATIONS TO RECOVERY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel A Samson
- Title
- Owner/President
- Phone
- (818) 737-2221
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
22842 Hatteras St
Woodland Hills, CA 91367-4231
Mailing address
20951 Burbank Blvd Ste D
Woodland Hills, CA 91367-6696
Phone (818) 650-9964
Other names 1
- Destinations for Teens
National Provider Directory
National Provider Directory- Part of
- Destinations to Recovery LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705536000000",
"number": "1013555069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20951 BURBANK BLVD STE D",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676696",
"telephone_number": "818-650-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22842 HATTERAS ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674231",
"telephone_number": "818-737-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINATIONS TO RECOVERY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DESTINATIONS TO RECOVERY LLC",
"enumeration_date": "2019-12-19",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "SAMSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "818-737-2221"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Destinations for Teens",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Destinations for Teens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.