Melrose Recovery, LLC.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MELROSE RECOVERY, LLC.

Practice address

1253 N Commonwealth Ave
Los Angeles, CA 90029

Phone

(714) 970-0036

Fax

(714) 970-1965

NPI assigned

Jan 4, 2019

Organization subpart

No

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

Authorized official

Name

Walt Ybarra

Title

Ceo

Phone

(714) 970-0036

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1053884775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 N LAKEVIEW AVE, STE#B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92807",
            "telephone_number": "714-970-0036",
            "fax_number": "714-970-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 N COMMONWEALTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "714-970-0036",
            "fax_number": "714-970-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE RECOVERY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-970-0036"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melrose Family Care Medical Center Inc
• Melrose Gardens
• Melrose Group LTD.
• Melrose Hospice Care Inc
• Melrose Recovery, LLC
• Melrose Villas, Inc
• Rebecca Jean Melrose, PH.D.
• Samuel Neil Melton, M.D.
• Tia Monique Melton
• Edward Meltser, DO

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.