NPIMap

Organization Active NPI

Westside Sober Living Centers, Inc

  • Substance Abuse Rehabilitation Facility
  • Santa Monica, CA
National Provider Identifier
1437609773
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190625GP Issued in CA
Legal business name
WESTSIDE SOBER LIVING CENTERS, INC
Practice address
2515 Wilshire Blvd
Santa Monica, CA 90403-4615
Phone
(866) 595-3105
Fax
(424) 272-9303
NPI assigned
Oct 11, 2016
Organization subpart
Yes
Parent organization
ELEMENTS BEHAVIORAL HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Mrs. Cheryl Maplesden, CPC, CHC, CHPC
Title
Sr Director RCM
Phone
(615) 510-3708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190625GP CA Primary

Addresses

Primary practice location

2515 Wilshire Blvd
Santa Monica, CA 90403-4615

Mailing address

PO Box 670549
Dallas, TX 75267-0549
Phone (615) 567-7282

Other names 1

  • PROMISES PTP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promises Malibu5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1437609773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670549",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670549",
            "telephone_number": "615-567-7282",
            "fax_number": "615-261-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034615",
            "telephone_number": "866-595-3105",
            "fax_number": "424-272-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SOBER LIVING CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEMENTS BEHAVIORAL HEALTH, INC",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "SR DIRECTOR RCM",
        "authorized_official_telephone_number": "615-510-3708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190625GP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMISES PTP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.