Organization Active NPI

Eternity Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1821869066
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ETERNITY RECOVERY CENTER
Practice address
16946 Sherman Way Ste 400
Van Nuys, CA 91406-3613
Phone
(747) 877-0070
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Meri Masumyan
Title
Ceo
Phone
(818) 448-8780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

16946 Sherman Way Ste 400
Van Nuys, CA 91406-3613

Mailing address

16946 Sherman Way Ste 400
Van Nuys, CA 91406-3613

National Provider Directory

National Provider Directory

Locations

16946 Sherman Way
Ste 400
Van Nuys, CA 91406
Phone (747) 877-0070

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1821869066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16946 SHERMAN WAY STE 400",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16946 SHERMAN WAY STE 400",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063613",
            "telephone_number": "747-877-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "MASUMYAN",
        "authorized_official_first_name": "MERI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-448-8780"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.