Organization Active NPI

Spiritual Wellness and Recovery Inc

  • Substance Abuse Rehabilitation Facility
  • Sherwood Forest, CA
National Provider Identifier
1023873999
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SPIRITUAL WELLNESS AND RECOVERY INC
Practice address
17250 Parthenia St
Sherwood Forest, CA 91325-3249
Phone
(909) 908-4922
NPI assigned
Feb 19, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Mr. Sisak Saribekyan
Title
Cfo
Phone
(909) 908-4922

Specialties & licenses 1

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

Addresses

Primary practice location

17250 Parthenia St
Sherwood Forest, CA 91325-3249

Mailing address

17250 Parthenia St
Sherwood Forest, CA 91325-3249
Phone (909) 908-4922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1023873999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 PARTHENIA ST",
            "city": "SHERWOOD FOREST",
            "state": "CA",
            "postal_code": "913253249",
            "telephone_number": "909-908-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 PARTHENIA ST",
            "city": "SHERWOOD FOREST",
            "state": "CA",
            "postal_code": "913253249",
            "telephone_number": "909-908-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITUAL WELLNESS AND RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "SARIBEKYAN",
        "authorized_official_first_name": "SISAK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-908-4922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.