NPIMap

Organization Active NPI

Westside Sober Living Centers

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1063637890
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190074BP Issued in CA
Legal business name
WESTSIDE SOBER LIVING CENTERS
Practice address
3743 S Barrington Ave
Los Angeles, CA 90066-3218
Phone
(310) 390-2340
NPI assigned
Apr 16, 2007
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Mrs. Cheryl Maplesden
Title
CPC, CHC, CHPC
Phone
(615) 510-3078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190074BP CA Primary

Addresses

Primary practice location

3743 S Barrington Ave
Los Angeles, CA 90066-3218

Mailing address

PO Box 670549
Dallas, TX 75267-0549
Phone (615) 567-7282

Other names 1

  • Promises Residential Treatment Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Promises Malibu5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3743 S Barrington Ave
Los Angeles, CA 90066
Phone (310) 390-2340

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1063637890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670549",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670549",
            "telephone_number": "615-567-7282",
            "fax_number": "615-807-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 S BARRINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663218",
            "telephone_number": "310-390-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SOBER LIVING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CPC, CHC, CHPC",
        "authorized_official_telephone_number": "615-510-3078",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190074BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promises Residential Treatment Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.