Active NPI
Rodeo Recovery LLC
- Substance Abuse Rehabilitation Facility
- Beverly Hills, CA
National Provider Identifier
1396410742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RODEO RECOVERY LLC
- Practice address
- 240 S Rodeo Dr
Beverly Hills, CA 90212-3804 - Phone
- (213) 305-9332
- NPI assigned
- Aug 9, 2021
- 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
- Nathan Young
- Title
- Ceo
- Phone
- (213) 305-9332
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
240 S Rodeo Dr
Beverly Hills, CA 90212-3804
Mailing address
240 S Rodeo Dr
Beverly Hills, CA 90212-3804
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Addiction (Substance Use Disorder) Counselor
- Beverly Hills, CA
- NPI 1255965554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670630400000",
"number": "1396410742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 S RODEO DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S RODEO DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123804",
"telephone_number": "213-305-9332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODEO RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-09",
"last_updated": "2022-12-10",
"certification_date": "2022-12-10",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-305-9332"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Rebecca Robinson, MFT
- Rockstar Beauty, P.C.
- Rodeo Aesthetics, Inc.
- Rodeo Drive Plastic Surgery Inc (Rodeo Drive Outpatient Surgery Center)
- Rodeo Medical Group
- Rodeo Surgical Institute Inc.
- Devorah Rodgers, MFT
- Rodney Bluestone Medical Corporation
- Rodney Collins, M.D., a Professional Corporation
- Rodney D Collins MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.