Active NPI
Grata House to, LLC
- Substance Abuse Rehabilitation Facility
- Thousand Oaks, CA
National Provider Identifier
1326760596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2289449 | Grata House | Certificate of waiver | Sep 10, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.