Restorative Residential LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

RESTORATIVE RESIDENTIAL LLC

Doing business as

Lightfully Behavioral Health

Practice address

1414 San Vicente Blvd
Santa Monica, CA 90402-2204

Phone

(885) 762-8088

NPI assigned

Dec 14, 2016

Reactivated

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Chelsey Sorensen

Title

VP RCM and Ur

Phone

(314) 740-0786

Specialties & licenses 1

Addresses

Other names 1

• Lightfully Behavioral Health Doing business as

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1235673963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45991",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450991",
            "telephone_number": "314-740-0786",
            "fax_number": "818-963-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SAN VICENTE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022204",
            "telephone_number": "885-762-8088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9714 Oak Pass Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902101223",
            "country_code": "US",
            "telephone_number": "888-576-2808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATIVE RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "deactivation_date": "2017-11-22",
        "reactivation_date": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_title_or_position": "VP RCM AND UR",
        "authorized_official_telephone_number": "314-740-0786"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lightfully Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.