Active NPI
Shelby Recovery Services Inc.
- Substance Abuse Rehabilitation Facility
- Covina, CA
National Provider Identifier
1164893749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 190868AP
- Legal business name
- SHELBY RECOVERY SERVICES INC.
- Practice address
- 279 E Greenhaven St
Covina, CA 91722-2838 - Phone
- (424) 266-4447
- Fax
- (424) 255-9306
- NPI assigned
- Oct 8, 2015
- 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
- Mr. Michael Bilgrai
- Title
- Ceo
- Phone
- (424) 266-4447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 190868AP | CA | Primary |
Addresses
Primary practice location
279 E Greenhaven St
Covina, CA 91722-2838
Mailing address
287 S Robertson Blvd
# 320
Beverly Hills, CA 90211-2810
Phone (424) 266-4447
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461542400000",
"number": "1164893749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 S ROBERTSON BLVD",
"address_2": "# 320",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112810",
"telephone_number": "424-266-4447",
"fax_number": "424-255-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 E GREENHAVEN ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917222838",
"telephone_number": "424-266-4447",
"fax_number": "424-255-9306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBY RECOVERY SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2016-04-25",
"status": "A",
"authorized_official_last_name": "BILGRAI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "424-266-4447",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "190868AP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.