Organization Active NPI

3855 Brunston LLC

  • Psychiatric Residential Treatment Facility
  • Hidden Hills, CA
National Provider Identifier
1376159566
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
3855 BRUNSTON LLC
Practice address
5182 Garrett CT
Hidden Hills, CA 91302-1143
Phone
(888) 643-7135
NPI assigned
Sep 22, 2020
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Krista Dennis
Title
Insurance Manager
Phone
(805) 579-3537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

5182 Garrett CT
Hidden Hills, CA 91302-1143

Mailing address

28632 Roadside Dr Ste 235
Agoura Hills, CA 91301-6095
Phone (888) 643-7135

National Provider Directory

National Provider Directory

Locations

28632 Roadside Dr
Ste 235
Agoura Hills, CA 91301
Phone (310) 801-0092

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1376159566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28632 ROADSIDE DR STE 235",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913016095",
            "telephone_number": "888-643-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 GARRETT CT",
            "city": "HIDDEN HILLS",
            "state": "CA",
            "postal_code": "913021143",
            "telephone_number": "888-643-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3855 BRUNSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "805-579-3537"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hidden Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.