Active NPI
Elemental Treatment LLC
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1104337377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ELEMENTAL TREATMENT LLC
- Practice address
- 11727 Barrington CT Ste 209
Los Angeles, CA 90049-6902 - Phone
- (310) 721-6447
- NPI assigned
- Oct 16, 2017
- Organization subpart
- Yes
- Parent organization
- ELEMENTAL TREATMENT LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Bond
- Title
- Cfo
- Phone
- (310) 457-0128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
11727 Barrington CT Ste 209
Los Angeles, CA 90049-6902
Mailing address
1976 S la Cienega Blvd Ste 668
Los Angeles, CA 90034-1627
Phone (310) 721-6447
Other names 1
- Key Transitions
National Provider Directory
National Provider Directory- Tax ID family
- Elemental Treatment LLC
- Part of
- Elemental Treatment LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Riverside, CA
- NPI 1407375397
-
- Adult Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1669997060
Locations
1976 S La Cienega Blvd
Ste 668
Los Angeles, CA 90034
Phone (310) 721-6447
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Adult Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1669997060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508112000000",
"number": "1104337377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1976 S LA CIENEGA BLVD STE 668",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900341627",
"telephone_number": "310-721-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11727 BARRINGTON CT STE 209",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496902",
"telephone_number": "310-721-6447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEMENTAL TREATMENT LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELEMENTAL TREATMENT LLC",
"enumeration_date": "2017-10-16",
"last_updated": "2017-10-16",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "310-457-0128"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Key Transitions",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.