Organization Active NPI

Inner Light Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Encino, CA
National Provider Identifier
1083440804
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
INNER LIGHT RECOVERY LLC
Practice address
4321 Clear Valley Dr
Encino, CA 91436-3317
Phone
(818) 434-1414
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Mr. Arkadi Soloian
Title
Ceo
Phone
(818) 434-1414

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4321 Clear Valley Dr
Encino, CA 91436-3317

Mailing address

4321 Clear Valley Dr
Encino, CA 91436-3317
Phone (818) 434-1414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1083440804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 CLEAR VALLEY DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363317",
            "telephone_number": "818-434-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 CLEAR VALLEY DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363317",
            "telephone_number": "818-434-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LIGHT RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "SOLOIAN",
        "authorized_official_first_name": "ARKADI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-434-1414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.