The Heavenly Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE HEAVENLY CENTER, LLC

Practice address

12532 Ventura Blvd
Studio City, CA 91604-2412

Phone

(561) 866-0012

NPI assigned

Feb 15, 2020

Last updated

Feb 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frank Cid

Title

Agent

Phone

(561) 866-0012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581724800000",
    "number": "1477186773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065957",
            "telephone_number": "561-866-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12532 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042412",
            "telephone_number": "561-866-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEAVENLY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-15",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A",
        "authorized_official_last_name": "CID",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "561-866-0012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anahita Tajbakhsh, D.D.S.
• Abeera Tareen, LMFT
• Jeremy Stephen Thacker
• Camtien Thai
• The Giving Tree LLC (Giving Tree Treatment Center)
• The Inn on the Boulevard Retirement Hotel
• The Nest Los Angeles LLC
• The Therapy Grove Inc.
• Think Play LLC
• Thomas Rudenko Chiropractic Corporation

• Substance Abuse Rehabilitation Facility in Studio City, CA
• Providers in Studio City, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.