Altadena Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ALTADENA RECOVERY CENTER

Practice address

3025 Lincoln Ave
Altadena, CA 91001-4534

Phone

(626) 765-6905

Fax

(626) 765-6905

NPI assigned

Jun 23, 2014

Last updated

Jun 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley Ann Bennett, R.A.S.

Title

Director

Phone

(661) 974-5285

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Marilynn McKeever

  • Addiction (Substance Use Disorder) Counselor
  • Altadena, CA
  • NPI 1871246843
  NPD (past)
• Sara Ouaddi

  • Addiction (Substance Use Disorder) Counselor
  • Altadena, CA
  • NPI 1659024636
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1164837670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 LINCOLN AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014534",
            "telephone_number": "626-765-6905",
            "fax_number": "626-765-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 LINCOLN AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014534",
            "telephone_number": "626-765-6905",
            "fax_number": "626-765-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTADENA RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-974-5285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.A.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfa Diagnostic Network, Inc
• Thomas Henry Allen
• Alta Diagnostic Laboratories, Inc
• Altadena Country Club Care Inc
• Altadena Home Healthcare, Inc.
• Lizette Marlene Alvarado
• Amanah Senior Living, LLC
• Chekwube Anyanwu
• Arturo Araujo
• Aniah Armon

• Community/Behavioral Health Agency in Altadena, CA
• Providers in Altadena, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.