Casa Bella Sober Living - West, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190937AP Issued in CA

Legal business name

CASA BELLA SOBER LIVING - WEST, LLC

Practice address

1937 Federal Ave
Los Angeles, CA 90025-5415

Phone

(310) 913-0029

Fax

(310) 913-0029

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Fiona A Ray, LMFT

Title

Co-Owner/Operator

Phone

(310) 913-0029

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bianca Cabanas, LCSW

  • Clinical Social Worker
  • Reseda, CA
  • NPI 1629704747
  NPD (past)
• Michelle Heymann, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1043938210
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1578084679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12410",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902953410",
            "telephone_number": "310-913-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 FEDERAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255415",
            "telephone_number": "310-913-0029",
            "fax_number": "310-913-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA BELLA SOBER LIVING - WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "FIONA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER/OPERATOR",
        "authorized_official_telephone_number": "310-913-0029",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190937AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Carvente
• David Lyle Carver
• Cary Charlin D.D.S & Associaates, Inc
• Cary Charlin DDS Inc.
• Sarah J Cary, M.F.T.
• Casa Blanca Outpatient Services
• Audra Jo Casabella, MSW
• Casablanca Outpatient
• Joseph Casaceli Jr.
• Thomas L Casados

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 29, 2017; 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.