Organization Active NPI

Spark to Recovery Inc

Doing business as Concise Detox Center

  • Substance Abuse Rehabilitation Facility
  • Sherman Oaks, CA
National Provider Identifier
1144867060
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SPARK TO RECOVERY INC
Doing business as
Concise Detox Center
Practice address
5449 Woodman Ave
Sherman Oaks, CA 91401-5832
Phone
(818) 818-0202
NPI assigned
Dec 10, 2019
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Hala Aziz
Title
Authorized Official
Phone
(949) 701-9271

Specialties & licenses 1

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

Addresses

Primary practice location

5449 Woodman Ave
Sherman Oaks, CA 91401-5832

Mailing address

5449 Woodman Ave
Sherman Oaks, CA 91401-5832

Other names 1

  • Concise Detox Center Doing business as

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
05D2233458Spark to Recovery Inc5449 Woodman Ave, Sherman Oaks, CA 91401Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

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": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1144867060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 WOODMAN AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 WOODMAN AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015832",
            "telephone_number": "818-818-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK TO RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2025-09-02",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "HALA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-701-9271"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concise Detox Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.