Renewal Sobriety

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RENEWAL SOBRIETY

Practice address

6442 Coldwater Canyon Ave
Suite 200
North Hollywood, CA 91606-1137

Phone

(323) 684-7089

NPI assigned

Oct 6, 2016

Last updated

Nov 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mordechi Dovid OsiasNPI 1861919706

Title

Progra Director

Phone

(323) 684-7089

Specialties & licenses 1

Addresses

Tax ID family

Renewal2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Renewal

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
  • NPI 1174072003
  NPD tax ID

Locations

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.

• Mordechi Osias

  • Addiction (Substance Use Disorder) Counselor
  • New York, NY
  • NPI 1861919706
  Authorized official Same address or phone

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1063962660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 BLUEBELL AVE",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 COLDWATER CANYON AVE",
            "address_2": "SUITE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061137",
            "telephone_number": "323-684-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL SOBRIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "OSIAS",
        "authorized_official_first_name": "MORDECHI",
        "authorized_official_middle_name": "DOVID",
        "authorized_official_title_or_position": "PROGRA DIRECTOR",
        "authorized_official_telephone_number": "323-684-7089"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.