NPIMap

Organization Active NPI

Westside Sober Living Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1174946552
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190625AP Issued in CA
Legal business name
WESTSIDE SOBER LIVING CENTERS, INC.
Practice address
20725 Rockcroft Dr
Malibu, CA 90265-5343
Phone
(310) 239-2340
NPI assigned
Jan 21, 2014
Organization subpart
Yes
Parent organization
ELEMENTS BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Ms. Cheryl Maplesden, CPC, CHC, CHPC
Title
Director, Revenue Cycle
Phone
(615) 510-3708

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X 190625AP CA Primary

Addresses

Primary practice location

20725 Rockcroft Dr
Malibu, CA 90265-5343

Mailing address

PO Box 670549
Dallas, TX 75267-0549
Phone (615) 567-7256

Other names 1

  • Promises Malibu Other name

National Provider Directory

National Provider Directory
Tax ID family
Promises Malibu5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1174946552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670549",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670549",
            "telephone_number": "615-567-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20725 ROCKCROFT DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655343",
            "telephone_number": "310-239-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SOBER LIVING CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEMENTS BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2014-01-21",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "615-510-3708",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190625AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promises Malibu",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.