Active NPI
Starbridge Recovery, LLC
- Substance Abuse Rehabilitation Facility
- Woodland Hills, CA
National Provider Identifier
1144860073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- STARBRIDGE RECOVERY, LLC
- Practice address
- 23104 Mariano St
Woodland Hills, CA 91367-6136 - Phone
- (323) 872-0000
- NPI assigned
- Jan 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Snyder
- Title
- MGMT
- Phone
- (323) 915-9088
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
23104 Mariano St
Woodland Hills, CA 91367-6136
Mailing address
23104 Mariano St
Woodland Hills, CA 91367-6136
Phone (323) 872-0000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728950400000",
"number": "1144860073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23104 MARIANO ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676136",
"telephone_number": "323-872-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23104 MARIANO ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676136",
"telephone_number": "323-872-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARBRIDGE RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-08",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "MGMT",
"authorized_official_telephone_number": "323-915-9088"
},
"taxonomies": [
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.