Innovate Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

INNOVATE RECOVERY LLC

Practice address

19500 Winifred St
Tarzana, CA 91356-3815

Phone

(818) 523-0025

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Ana Kesaryan

Title

Ceo

Phone

(818) 523-0025

Specialties & licenses 1

Addresses

Tax ID family

Innovate Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Innovate Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Van Nuys, CA
  • NPI 1376328179
  NPD tax ID
• Innovate Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Van Nuys, CA
  • NPI 1427791607
  NPD tax ID

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1619667953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14718 KESWICK ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051205",
            "telephone_number": "818-523-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 WINIFRED ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563815",
            "telephone_number": "818-523-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "KESARYAN",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-523-0025"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Tarzana, CA
• Providers in Tarzana, 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 Nov 3, 2023; 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.