Fairways Calabasas

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190876AP Issued in CA

Legal business name

FAIRWAYS CALABASAS

Practice address

23930 Craftsman Rd
Calabasas, CA 91302-1437

Phone

(818) 535-5601

NPI assigned

Mar 27, 2017

Organization subpart

No

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

Authorized official

Name

Jeff Cooper

Title

Ceo/President

Phone

(818) 535-5601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1245761543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23930 CRAFTSMAN RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021437",
            "telephone_number": "818-535-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23930 CRAFTSMAN RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021437",
            "telephone_number": "818-535-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAYS CALABASAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-535-5601"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190876AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.