NPIMap

Organization Active NPI

Third Street Treatment Partners LLC

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1588943203
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190695 Issued in CA
Legal business name
THIRD STREET TREATMENT PARTNERS LLC
Practice address
4067 W 3Rd St
Los Angeles, CA 90020-3120
Phone
(818) 635-9380
Fax
(818) 337-0365
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Christopher Bathum, PROGRAM ADMIN ADP
Title
Chief Executive Officer
Phone
(818) 635-9380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 190695 CA
Substance Abuse Rehabilitation Facility 324500000X 190695 CA Primary

Addresses

Primary practice location

4067 W 3Rd St
Los Angeles, CA 90020-3120

Mailing address

4067 W 3Rd St
Los Angeles, CA 90020-3120
Phone (818) 635-9380

Other names 1

  • Walking Miracles Los Angeles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Third Street Treatment Partners LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1588943203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203120",
            "telephone_number": "818-635-9380",
            "fax_number": "818-337-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203120",
            "telephone_number": "818-635-9380",
            "fax_number": "818-337-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD STREET TREATMENT PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "BATHUM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-635-9380",
        "authorized_official_credential": "PROGRAM ADMIN ADP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "190695",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walking Miracles Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.