Organization Active NPI

Lighthouse Recovery Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Woodland Hills, CA
National Provider Identifier
1376905505
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190896AP Issued in CA
Legal business name
LIGHTHOUSE RECOVERY CENTERS LLC
Practice address
5242 Darro Rd
Woodland Hills, CA 91364-1933
Phone
(818) 794-7321
NPI assigned
Mar 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Aaron Barsalou
Title
Manager
Phone
(818) 794-7321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190896AP CA Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

5242 Darro Rd
Woodland Hills, CA 91364-1933

Mailing address

PO Box 4518
West Hills, CA 91308-4518

Other practice location 1

18663 Ventura Blvd Ste 210
Tarzana, CA 91356-4195
Phone (818) 794-7321

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
05D2170008Lighthouse Recovery Centers LLC5242 Darro Road, Woodland Hills, CA 91364Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Recovery Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1376905505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4518",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913084518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 DARRO RD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641933",
            "telephone_number": "818-794-7321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18663 Ventura Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913564195",
            "country_code": "US",
            "telephone_number": "818-794-7321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE RECOVERY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-26",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "BARSALOU",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-794-7321"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190896AP",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.