Organization Active NPI

Essential Life Skills Recuperative Care

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1699682385
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ESSENTIAL LIFE SKILLS RECUPERATIVE CARE
Practice address
6250 S la Brea Ave
Los Angeles, CA 90056-1913
Phone
(424) 488-1124
NPI assigned
Aug 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Stacy Graham
Title
Ceo
Phone
(424) 488-1124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6250 S la Brea Ave
Los Angeles, CA 90056-1913

Mailing address

6080 Center Dr Ste 600
Los Angeles, CA 90045-1540
Phone (424) 488-1124

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1699682385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 CENTER DR STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451540",
            "telephone_number": "424-488-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561913",
            "telephone_number": "424-488-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL LIFE SKILLS RECUPERATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-488-1124"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.