Organization Active NPI

Luxury Rehab Group, LLC.

Doing business as Seasons in Malibu

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1780825240
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190695AP Issued in CA
Legal business name
LUXURY REHAB GROUP, LLC.
Doing business as
Seasons in Malibu
Practice address
6021 Galahad Rd
Malibu, CA 90265-4030
Phone
(818) 635-9380
NPI assigned
Mar 13, 2009
Last updated
Dec 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Dr. Sheila Shilati, PSY.D.
Title
Chief Operating Officer
Phone
(424) 234-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190695AP CA Primary

Addresses

Primary practice location

6021 Galahad Rd
Malibu, CA 90265-4030

Mailing address

1801 W. Olympic Blvd,
File 1441
Pasadena, CA 91199
Phone (424) 234-2057

Other names 1

  • Seasons in Malibu Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Luxury Rehab Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1801 W Olympic Blvd
#1441
Pasadena, CA 91199

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1780825240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W. OLYMPIC BLVD,",
            "address_2": "FILE 1441",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91199",
            "telephone_number": "424-234-2057",
            "fax_number": "424-234-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 GALAHAD RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654030",
            "telephone_number": "818-635-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY REHAB GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "SHILATI",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "424-234-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190695AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seasons in Malibu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.