NPIMap

Organization Active NPI

Restore Health and Wellness Center LLC

  • Substance Abuse Rehabilitation Facility
  • Chatsworth, CA
National Provider Identifier
1124676812
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RESTORE HEALTH AND WELLNESS CENTER LLC
Practice address
10342 De Soto Ave
Chatsworth, CA 91311-2301
Phone
(818) 946-2772
NPI assigned
Aug 27, 2019
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RESTORE HEALTH AND WELLNESS CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Eric J LeonNPI 1356526628
Title
Coo
Phone
(954) 641-5366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

10342 De Soto Ave
Chatsworth, CA 91311-2301

Mailing address

6918 Owensmouth Ave Ste a
Canoga Park, CA 91303-2003
Phone (818) 946-2772

National Provider Directory

National Provider Directory
Tax ID family
Restore Health and Wellness Center LLC10 organizations share this tax ID, including this one
Part of
Restore Health and Wellness Center LLC

Other organizations with this tax ID 9

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

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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1124676812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 OWENSMOUTH AVE STE A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032003",
            "telephone_number": "818-946-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10342 DE SOTO AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112301",
            "telephone_number": "818-946-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE HEALTH AND WELLNESS CENTER LLC",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-641-5366"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.