Organization Active NPI

Destinations to Recovery, LLC

  • Psychiatric Residential Treatment Facility
  • Woodland Hills, CA
National Provider Identifier
1013555069
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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)CodeLicenseStatePrimary
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 Doing business as

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.

Verify at the official NPI Registry.