Active NPI
Thrive Treatment LLC
- Substance Abuse Rehabilitation Facility
- Woodland Hills, CA
National Provider Identifier
1659156743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- THRIVE TREATMENT LLC
- Practice address
- 23281 Leonora Dr
Woodland Hills, CA 91367-6038 - Phone
- (855) 232-1334
- NPI assigned
- Aug 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clayton Ketchum
- Title
- Ceo
- Phone
- (888) 975-8474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
23281 Leonora Dr
Woodland Hills, CA 91367-6038
Mailing address
3101 Ocean Park Blvd Ste 200
Santa Monica, CA 90405-3054
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2292356 | Thrive Treatment, LLC | Certificate of waiver | Oct 23, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Thrive Treatment LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Santa Monica, CA
- NPI 1013396076
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Culver City, CA
- NPI 1659089001
Locations
3101 Ocean Park Blvd
Ste 200
Santa Monica, CA 90405
Phone (310) 449-1331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1659156743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 OCEAN PARK BLVD STE 200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23281 LEONORA DR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676038",
"telephone_number": "855-232-1334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE TREATMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A",
"authorized_official_last_name": "KETCHUM",
"authorized_official_first_name": "CLAYTON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-975-8474"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.