NPIMap

Organization Active NPI

Empowered for Excellence Behavioral Health California LLC

  • Substance Abuse Rehabilitation Facility
  • View Park, CA
National Provider Identifier
1134760598
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EMPOWERED FOR EXCELLENCE BEHAVIORAL HEALTH CALIFORNIA LLC
Practice address
3701 Stocker St
View Park, CA 90008-5108
Phone
(419) 699-2859
NPI assigned
Oct 7, 2019
Last updated
Jun 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPOWERED FOR EXCELLENCE BEHAVIORAL HEALTH CALIFORNIA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Mr. Carl Frank Blazik
Title
Consultant
Phone
(419) 366-3974

Specialties & licenses 1

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

Addresses

Primary practice location

3701 Stocker St
View Park, CA 90008-5108

Mailing address

3170 W Central Ave
Toledo, OH 43606-2945
Phone (567) 316-7231

Other practice location 1

3170 W Central Ave Ste D
Toledo, OH 43606-2945
Phone (567) 316-7253 ext. 9700

Other names 1

  • Empowered For Excellence Behavioral Health California LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Empowered for Excellence Behavioral Health California LLC2 organizations share this tax ID, including this one
Part of
Empowered for Excellence Behavioral Health California LLC

Other organizations with this tax ID 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1134760598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062945",
            "telephone_number": "567-316-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 STOCKER ST",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900085108",
            "telephone_number": "419-699-2859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 W Central Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436062945",
            "country_code": "US",
            "telephone_number": "567-316-7253 x9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERED FOR EXCELLENCE BEHAVIORAL HEALTH CALIFORNIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPOWERED FOR EXCELLENCE BEHAVIORAL HEALTH CALIFORNIA LLC",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "BLAZIK",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "419-366-3974",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowered For Excellence Behavioral Health California LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Empowered For Excellence Behavioral Health California LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in View Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.