Organization Active NPI

Faith Recovery Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Beverly Hills, CA
National Provider Identifier
1114412392
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FAITH RECOVERY CENTER, INC
Practice address
2200 Coldwater Canyon Dr
Beverly Hills, CA 90210-1737
Phone
(818) 220-3089
NPI assigned
Jun 28, 2018
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Ms. Elen Antonyan
Title
Ceo
Phone
(818) 220-3089

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Coldwater Canyon Dr
Beverly Hills, CA 90210-1737

Mailing address

2200 Coldwater Canyon Dr
Beverly Hills, CA 90210-1737
Phone (818) 220-3089

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2162748Faith Recovery Center, Inc2200 Coldwater Canyon Drive, Beverly Hills, CA 90210Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1114412392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLDWATER CANYON DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101737",
            "telephone_number": "818-220-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COLDWATER CANYON DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101737",
            "telephone_number": "818-220-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH RECOVERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "ANTONYAN",
        "authorized_official_first_name": "ELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-220-3089",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.