Organization Active NPI

KB Recovery Inc.

  • Substance Abuse Rehabilitation Facility
  • North Hills, CA
National Provider Identifier
1053516567
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190527AP Issued in CA
Legal business name
KB RECOVERY INC.
Practice address
15722 Tupper St
North Hills, CA 91343-3124
Phone
(818) 891-3639
Fax
(818) 892-9471
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kevin Babayan, M.A.
Title
Executive Director
Phone
(818) 891-3639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190527AP CA Primary

Addresses

Primary practice location

15722 Tupper St
North Hills, CA 91343-3124

Mailing address

15722 Tupper St
North Hills, CA 91343-3124
Phone (818) 891-3639

Other names 1

  • KB Recovery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053516567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15722 TUPPER ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433124",
            "telephone_number": "818-891-3639",
            "fax_number": "818-892-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15722 TUPPER ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433124",
            "telephone_number": "818-891-3639",
            "fax_number": "818-892-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABAYAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-891-3639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190527AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KB Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.