NPIMap

Organization Active NPI

Recovery Grads, LLC

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1164994802
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RECOVERY GRADS, LLC
Doing business as
The Haven at College
Practice address
1015 Gayley Ave Ste 203
Los Angeles, CA 90024-3475
Phone
(310) 822-1234
Fax
(213) 737-3059
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Elliot Liebhard
Title
Cfo
Phone
(917) 374-4215

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1015 Gayley Ave Ste 203
Los Angeles, CA 90024-3475

Mailing address

1015 Gayley Ave Ste 203
Los Angeles, CA 90024-3475
Phone (310) 822-1234

Other names 1

  • The Haven at College Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Recovery Grads LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7207 Baltimore Ave
College Park, MD 20740
Phone (301) 329-5885

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1164994802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GAYLEY AVE STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243475",
            "telephone_number": "310-822-1234",
            "fax_number": "213-737-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GAYLEY AVE STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243475",
            "telephone_number": "310-822-1234",
            "fax_number": "213-737-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY GRADS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "LIEBHARD",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-374-4215"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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": [
        {
            "organization_name": "The Haven at College",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.