NPIMap

Organization Active NPI

California New Life Detox and Recovery Homes, Inc.

  • Substance Abuse Rehabilitation Facility
  • Northridge, CA
National Provider Identifier
1134596356
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190851AP Issued in CA
Legal business name
CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC.
Practice address
18134 Chase St
Northridge, CA 91325-3730
Phone
(818) 775-1749
Fax
(818) 626-9749
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Mr. Emmanuel Oyebabola
Title
Ceo
Phone
(818) 775-1749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190851AP CA Primary

Addresses

Primary practice location

18134 Chase St
Northridge, CA 91325-3730

Mailing address

18134 Chase Street
Chase Street
Northridge, CA 91325
Phone (818) 775-1749

Other names 1

  • CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California New Life Detox and Recovery Homes Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1134596356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18134 CHASE STREET",
            "address_2": "CHASE STREET",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-775-1749",
            "fax_number": "818-626-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18134 CHASE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253730",
            "telephone_number": "818-775-1749",
            "fax_number": "818-626-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "OYEBABOLA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-775-1749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190851AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

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