Active NPI
Resilient Rehabilitation, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Woodland Hills, CA
National Provider Identifier
1053024380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- RESILIENT REHABILITATION, LLC
- Practice address
- 4929 Medina Dr
Woodland Hills, CA 91364-4324 - Phone
- (818) 918-2222
- NPI assigned
- Jan 2, 2023
- Last updated
- Jan 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Lisa Ann Lerma, MS
- Title
- Ceo
- Phone
- (805) 415-1536
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
4929 Medina Dr
Woodland Hills, CA 91364-4324
Mailing address
4929 Medina Dr
Woodland Hills, CA 91364-4324
Phone (818) 918-2222
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Camarillo, CA
- NPI 1831215029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672617600000",
"number": "1053024380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4929 MEDINA DR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913644324",
"telephone_number": "818-918-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4929 MEDINA DR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913644324",
"telephone_number": "818-918-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A",
"authorized_official_last_name": "LERMA",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-415-1536",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 2, 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.