NPIMap

Organization Active NPI

Refuge Recovery House, LLC

Doing business as Refuge Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1205238508
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REFUGE RECOVERY HOUSE, LLC
Doing business as
Refuge Recovery Centers
Practice address
4300 Melrose Ave
Los Angeles, CA 90029-3511
Phone
(323) 787-7077
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Noah Peter Mountain Levine, MA
Title
Founder/Ceo
Phone
(323) 787-7077

Specialties & licenses 1

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

Addresses

Primary practice location

4300 Melrose Ave
Los Angeles, CA 90029-3511

Mailing address

5081 Montezuma St
Los Angeles, CA 90042-3228
Phone (323) 787-7077

Other names 1

  • Refuge Recovery Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Refuge Recovery Centers2 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.

Locations

4300 Melrose Ave
Los Angeles, CA 90029
Phone (323) 787-7077

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1205238508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5081 MONTEZUMA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423228",
            "telephone_number": "323-787-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293511",
            "telephone_number": "323-787-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGE RECOVERY HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "PETER MOUNTAIN",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "323-787-7077",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refuge Recovery Centers",
            "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, 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.