NPIMap

Organization Active NPI

Tikva Treatment

  • Substance Abuse Rehabilitation Facility
  • Arroyo Grande, CA
National Provider Identifier
1760934574
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
400009DP Issued in CA
Legal business name
TIKVA TREATMENT
Practice address
944 Via Solana
Ste 102
Arroyo Grande, CA 93420-5557
Phone
(954) 560-5238
Fax
(888) 510-9071
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Ari Hirt, MBA
Title
Ceo
Phone
(310) 502-6991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 400009DP CA Primary

Addresses

Primary practice location

944 Via Solana
Ste 102
Arroyo Grande, CA 93420-5557

Mailing address

944 Via Solana
Arroyo Grande, CALIFORNIA 93420
UM
Phone (805) 202-3440

Other identifiers 1

IdentifierTypeStateIssuer
400009DPOtherCASTATE OF CALIFORNIA

National Provider Directory

National Provider Directory
Tax ID family
The Haven at Pismo5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1760934574",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "944 VIA SOLANA",
            "city": "ARROYO GRANDE",
            "state": "CALIFORNIA",
            "postal_code": "93420",
            "telephone_number": "805-202-3440",
            "fax_number": "888-510-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 VIA SOLANA",
            "address_2": "STE 102",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934205557",
            "telephone_number": "954-560-5238",
            "fax_number": "888-510-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIKVA TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "HIRT",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-502-6991",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "400009DP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "400009DP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.