Organization Active NPI

Renaissance Recovery West Hills LLC.

  • Substance Abuse Rehabilitation Facility
  • West Hills, CA
National Provider Identifier
1326825621
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RENAISSANCE RECOVERY WEST HILLS LLC.
Practice address
21906 Londelius St
West Hills, CA 91304-1354
Phone
(424) 335-5505
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Andrey Gogauzer
Title
Manager
Phone
(424) 335-5505

Specialties & licenses 1

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

Addresses

Primary practice location

21906 Londelius St
West Hills, CA 91304-1354

Mailing address

21906 Londelius St
West Hills, CA 91304-1354
Phone (424) 335-5505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1326825621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21906 LONDELIUS ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913041354",
            "telephone_number": "424-335-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21906 LONDELIUS ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913041354",
            "telephone_number": "424-335-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE RECOVERY WEST HILLS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "GOGAUZER",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "424-335-5505"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.