Organization Active NPI

Grata House to, LLC

  • Substance Abuse Rehabilitation Facility
  • Thousand Oaks, CA
National Provider Identifier
1326760596
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GRATA HOUSE TO, LLC
Practice address
1696 La Jolla Dr
Thousand Oaks, CA 91362-2334
Phone
(424) 388-4061
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Jason Moriarty
Title
Managing Member
Phone
(424) 388-4061

Specialties & licenses 1

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

Addresses

Primary practice location

1696 La Jolla Dr
Thousand Oaks, CA 91362-2334

Mailing address

1696 La Jolla Dr
Thousand Oaks, CA 91362-2334
Phone (424) 388-4061

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2289449Grata House1696 La Jolla Dr, Thousand Oaks, CA 91362Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1326760596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 LA JOLLA DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622334",
            "telephone_number": "424-388-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 LA JOLLA DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622334",
            "telephone_number": "424-388-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATA HOUSE TO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "424-388-4061"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.