11:11 Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

11:11 RECOVERY

Practice address

5352 Laurel Canyon Blvd Ste 203
Valley Village, CA 91607-4958

Phone

(818) 726-9999

NPI assigned

Mar 28, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Kasabyan

Title

Ceo

Phone

(818) 726-9999

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1750132676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 LAUREL CANYON BLVD STE 203",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 LAUREL CANYON BLVD STE 203",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074958",
            "telephone_number": "818-726-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "11:11 RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "KASABYAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-726-9999"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2ND Home Health Care
• 911 Home Health Care Inc.
• A & T Inc (Go to Pharmacy RX)
• Aariel Hospice
• Jill Rose Abatemarco, LMT, BCMT

• Substance Use Disorder Rehabilitation Clinic/Center in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.