Vita Behavioral Health Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

VITA BEHAVIORAL HEALTH INC

Practice address

14000 Valerio St
Van Nuys, CA 91405-2533

Phone

(747) 998-5627

Fax

(818) 475-1799

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Crystal Avakyan

Title

Owner

Phone

(747) 998-5627

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Veneill Elena Latham

  • Marriage & Family Therapist
  • Van Nuys, CA
  • NPI 1114416427
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285152744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 VALERIO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052533",
            "telephone_number": "747-998-5627",
            "fax_number": "818-475-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 VALERIO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052533",
            "telephone_number": "747-998-5627",
            "fax_number": "818-475-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AVAKYAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-998-5627",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "190789AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurpreet Virk
• Stephanie Viruete
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• Vision of Peace Hospice Inc
• Visiting Angels of la Hospice Inc.
• Vita Care Hospice Inc
• Vita Care, Inc. (Med-Care Rx Pharmacy)
• Vita Home Health Inc
• Vita Hospice and Palliative Care Services
• Vita Hospice Inc

• Substance Abuse Rehabilitation Facility in Van Nuys, CA
• Providers in Van Nuys, 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 Jul 21, 2022; 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.