Active NPI
Arise Treatment Homes LLC
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1417690983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ARISE TREATMENT HOMES LLC
- Practice address
- 553 N Mariposa Ave
Los Angeles, CA 90004-2846 - Phone
- (323) 900-5041
- Fax
- (760) 560-1684
- NPI assigned
- Apr 13, 2022
- 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
- Brandi Louise Jordan
- Title
- Chief Operating Officer
- Phone
- (949) 678-6047
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
553 N Mariposa Ave
Los Angeles, CA 90004-2846
Mailing address
925 N la Brea Ave
West Hollywood, CA 90038-3161
Other names 1
- Invigorate Behavioral Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2281174 | Invigorate Behavioral Health | Certificate of waiver | May 1, 2027 |
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.
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1316303514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1417690983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 N LA BREA AVE",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900383161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "553 N MARIPOSA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900042846",
"telephone_number": "323-900-5041",
"fax_number": "760-560-1684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARISE TREATMENT HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-13",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "BRANDI",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "949-678-6047"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Invigorate Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.