Organization Active NPI

Hollycare Recovery, Inc.

  • Adult Mental Health Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1568280691
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HOLLYCARE RECOVERY, INC.
Practice address
14242 Ventura Blvd Ste 235
Sherman Oaks, CA 91423-2757
Phone
(818) 934-2200
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Misha Khudaverdyan
Title
Ceo
Phone
(818) 934-2200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

14242 Ventura Blvd Ste 235
Sherman Oaks, CA 91423-2757

Mailing address

14242 Ventura Blvd Ste 235
Sherman Oaks, CA 91423-2757
Phone (818) 934-2200

National Provider Directory

National Provider Directory

Locations

14242 Ventura Blvd
Ste 235
Sherman Oaks, CA 91423
Phone (818) 934-2200

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1568280691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14242 VENTURA BLVD STE 235",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232757",
            "telephone_number": "818-934-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14242 VENTURA BLVD STE 235",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232757",
            "telephone_number": "818-934-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYCARE RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "KHUDAVERDYAN",
        "authorized_official_first_name": "MISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-934-2200"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.