Organization Active NPI

Living at Reflections LLC

  • Substance Abuse Rehabilitation Facility
  • Novato, CA
National Provider Identifier
1174862064
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
210038AP Issued in CA
Legal business name
LIVING AT REFLECTIONS LLC
Practice address
1191 Simmons LN
Novato, CA 94945-1735
Phone
(415) 891-8000
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Dina Young
Title
Director of Finance
Phone
(415) 891-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 210038AP CA Primary

Addresses

Primary practice location

1191 Simmons LN
Novato, CA 94945-1735

Mailing address

1191 Simmons LN
Novato, CA 94945-1735
Phone (415) 891-8000

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
05D2093101Living at Reflections, LLC1191 Simmons LN, Novato, CA 94945Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Living at Reflections 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1174862064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 SIMMONS LN",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451735",
            "telephone_number": "415-891-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 SIMMONS LN",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451735",
            "telephone_number": "415-891-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING AT REFLECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "415-891-8000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "210038AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.