Bellaire Recovery, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BELLAIRE RECOVERY, INC.

Practice address

6622 Bellaire Ave.
N Hollywood, CA 91606

Phone

(818) 808-0108

Fax

(747) 444-4085

NPI assigned

Aug 21, 2023

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ishkhan Shahaziyan

Title

Ceo

Phone

(818) 808-0108

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1356125447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 BELLAIRE AVE.",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "818-808-0108",
            "fax_number": "747-444-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 BELLAIRE AVE.",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "818-808-0108",
            "fax_number": "747-444-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "SHAHAZIYAN",
        "authorized_official_first_name": "ISHKHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-808-0108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in N Hollywood, CA
• Providers in N Hollywood, 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 Oct 4, 2024; 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.