Ola Wellness Retreat, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

OLA WELLNESS RETREAT, LLC

Practice address

30425 Pacific Coast Hwy
Malibu, CA 90265-3604

Phone

(888) 595-0235

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Evan Haines

Title

Co-Ceo

Phone

(310) 975-5344

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ola Wellness Retreat LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ola Wellness Retreat, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malibu, CA
  • NPI 1336752963
  NPD tax ID
• Ola Wellness Retreat, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malibu, CA
  • NPI 1942814793
  NPD tax ID

Locations

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1053973230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30765 PACIFIC COAST HWY STE 135",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30425 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653604",
            "telephone_number": "888-595-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28955 Pacific Coast Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Malibu",
            "state": "CA",
            "postal_code": "902653953",
            "country_code": "US",
            "telephone_number": "310-579-5192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLA WELLNESS RETREAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "310-975-5344"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh O'Hare, PHARMD
• Oceanside Transitional Living in Malibu
• Jacqueline Rosaly Ochoa, M.A.
• Oconnor OD Optometry Corporation
• Oconnor Optometric Inc
• Ola Wellness Retreat, LLC
• Ola Wellness Retreat, LLC
• Optum Behavioral Care of California, P.C.
• Our Common Heart
• Pacific Teen Treatment LLC

• Substance Abuse Rehabilitation Facility in Malibu, CA
• Providers in Malibu, 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 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.