NPIMap

Organization Active NPI

Antelope Valley Rehabilitation Centers Residential

  • Substance Abuse Rehabilitation Facility
  • Acton, CA
National Provider Identifier
1316397938
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190001AN Issued in CA
Legal business name
ANTELOPE VALLEY REHABILITATION CENTERS RESIDENTIAL
Practice address
30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Phone
(661) 223-8800
Fax
(661) 269-4507
NPI assigned
Jun 14, 2016
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Mr. Tony W. Hill, M.P.A
Title
Chief, Rehabilitation Centers
Phone
(661) 223-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190001AN CA Primary

Addresses

Primary practice location

30500 Arrastre Canyon Rd
Acton, CA 93510-2160

Mailing address

30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Phone (661) 223-8800

Other names 1

  • Los Angeles County Department of Public Health AVRC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1316397938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 ARRASTRE CANYON RD",
            "city": "ACTON",
            "state": "CA",
            "postal_code": "935102160",
            "telephone_number": "661-223-8800",
            "fax_number": "661-269-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 ARRASTRE CANYON RD",
            "city": "ACTON",
            "state": "CA",
            "postal_code": "935102160",
            "telephone_number": "661-223-8800",
            "fax_number": "661-269-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY REHABILITATION CENTERS RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF, REHABILITATION CENTERS",
        "authorized_official_telephone_number": "661-223-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190001AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles County Department of Public Health AVRC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Acton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.