Organization Active NPI

Nova Vitae Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Woodland Hills, CA
National Provider Identifier
1730722828
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NOVA VITAE RECOVERY CENTER
Practice address
5985 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Phone
(818) 925-5985
Fax
(818) 647-6500
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Mr. Allen Yadegar
Title
Exec Director
Phone
(818) 422-3442

Specialties & licenses 1

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

Addresses

Primary practice location

5985 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623

Mailing address

4942 Vineland Ave Ste R
North Hollywood, CA 91601-5637
Phone (818) 422-3442

National Provider Directory

National Provider Directory

Locations

4942 Vineland Ave
Ste R
North Hollywood, CA 91601

5985 Topanga Canyon Blvd
Woodland Hills, CA 91367
Phone (818) 422-3442

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1730722828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 VINELAND AVE STE R",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916015637",
            "telephone_number": "818-422-3442",
            "fax_number": "818-647-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673623",
            "telephone_number": "818-925-5985",
            "fax_number": "818-647-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA VITAE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "YADEGAR",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "818-422-3442",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Oct 22, 2019; 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.