NPIMap

Organization Active NPI

California New Life Detox and Recovery Homes, Inc.

  • Substance Abuse Rehabilitation Facility
  • Northridge, CA
National Provider Identifier
1588024509
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190851BP Issued in CA
Legal business name
CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC.
Practice address
9529 Corbin Ave
Northridge, CA 91324-2120
Phone
(818) 775-9431
Fax
(818) 626-9749
NPI assigned
Mar 3, 2016
Organization subpart
Yes
Parent organization
CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Mr. Emmanuel Oyebobola
Title
Ceo
Phone
(181) 775-9431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190851BP CA Primary

Addresses

Primary practice location

9529 Corbin Ave
Northridge, CA 91324-2120

Mailing address

9529 Corbin Ave
Northridge, CA 91324-2120
Phone (818) 775-9431

Other identifiers 1

IdentifierTypeStateIssuer
190851BPOtherCADHCS. STATE LICENSE NUMBER 190851BP

Other names 1

  • CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California New Life Detox and Recovery Homes Inc2 organizations share this tax ID, including this one
Part of
California New Life Detox and Recovery Homes Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1588024509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9529 CORBIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242120",
            "telephone_number": "818-775-9431",
            "fax_number": "818-626-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9529 CORBIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242120",
            "telephone_number": "818-775-9431",
            "fax_number": "818-626-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC.",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "OYEBOBOLA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "181-775-9431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190851BP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS. STATE LICENSE NUMBER 190851BP",
            "identifier": "190851BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.