Organization Active NPI

Avm Group, LLC

Doing business as Vine Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Studio City, CA
National Provider Identifier
1659941623
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AVM GROUP, LLC
Doing business as
Vine Recovery Center
Practice address
11696 Ventura Blvd
Studio City, CA 91604-2613
Phone
(844) 242-1271
NPI assigned
Jun 30, 2021
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Arshak Karadjian
Title
Ceo
Phone
(818) 974-1823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

11696 Ventura Blvd
Studio City, CA 91604-2613

Mailing address

11696 Ventura Blvd
Studio City, CA 91604-2613
Phone (844) 242-1271

Other names 1

  • Vine Recovery Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.kipu.health/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

11696 Ventura Blvd
Studio City, CA 91604
Phone (818) 644-0502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1659941623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11696 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042613",
            "telephone_number": "844-242-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11696 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042613",
            "telephone_number": "844-242-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVM GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-10-03",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "KARADJIAN",
        "authorized_official_first_name": "ARSHAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-974-1823"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.kipu.health/",
            "affiliation": "N",
            "endpointDescription": "Cloud Based EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11696 Ventura Blvd",
            "city": "Studio City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "916042613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vine Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vine Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

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