Organization Active NPI

Simple Path Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Pomona, CA
National Provider Identifier
1164282463
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SIMPLE PATH RECOVERY LLC
Practice address
968 Lincoln Ave
Pomona, CA 91767-4142
Phone
(562) 324-4875
NPI assigned
Mar 21, 2024
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Tiffany Nicolau
Title
Coo
Phone
(562) 324-4875

Specialties & licenses 1

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

Addresses

Primary practice location

968 Lincoln Ave
Pomona, CA 91767-4142

Mailing address

55 E Huntington Dr Ste 108
Arcadia, CA 91006-3246
Phone (562) 324-4875

National Provider Directory

National Provider Directory
Tax ID family
Simple Path Recovery LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1164282463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E HUNTINGTON DR STE 108",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063246",
            "telephone_number": "562-324-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 LINCOLN AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674142",
            "telephone_number": "562-324-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE PATH RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "NICOLAU",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "562-324-4875"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.