NPIMap

Organization Active NPI

Destinations to Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Topanga, CA
National Provider Identifier
1629311402
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
198207892 Issued in CA
Legal business name
DESTINATIONS TO RECOVERY LLC
Practice address
20851 Cheney Drive
Topanga, CA 90290
Phone
(818) 737-2221
Fax
(818) 737-2222
NPI assigned
Mar 31, 2013
Last updated
Mar 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Mr. Daniel Samson
Title
President
Phone
(818) 737-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 198207892 CA Primary

Addresses

Primary practice location

20851 Cheney Drive
Topanga, CA 90290

Mailing address

21051 Warner Center Lane
Suite 220
Woodland Hills, CA 91367-6592
Phone (818) 737-2221

National Provider Directory

National Provider Directory
Tax ID family
Destinations to Recovery LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1364688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1629311402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21051 WARNER CENTER LANE",
            "address_2": "SUITE 220",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676592",
            "telephone_number": "818-737-2221",
            "fax_number": "818-737-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20851 CHENEY DRIVE",
            "city": "TOPANGA",
            "state": "CA",
            "postal_code": "90290",
            "telephone_number": "818-737-2221",
            "fax_number": "818-737-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATIONS TO RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-31",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-737-2221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "198207892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topanga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.