Organization Active NPI

Beverly Hills Home Inc.

  • Psychiatric Residential Treatment Facility
  • Beverly Hills, CA
National Provider Identifier
1023797222
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
BEVERLY HILLS HOME INC.
Practice address
450 S la Peer Dr
Beverly Hills, CA 90211-3504
Phone
(310) 709-7355
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Shahrous Ghodsian, MD
Title
Owner
Phone
(310) 709-7355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

450 S la Peer Dr
Beverly Hills, CA 90211-3504

Mailing address

450 S la Peer Dr
Beverly Hills, CA 90211-3504
Phone (310) 709-7355

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1023797222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S LA PEER DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113504",
            "telephone_number": "310-709-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S LA PEER DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113504",
            "telephone_number": "310-709-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "GHODSIAN",
        "authorized_official_first_name": "SHAHROUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-709-7355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.