Organization Active NPI

Goldwing Recovery Co.

Doing business as Goldwing Recovery

  • Substance Abuse Rehabilitation Facility
  • Van Nuys, CA
National Provider Identifier
1851895361
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GOLDWING RECOVERY CO.
Doing business as
Goldwing Recovery
Practice address
14942 Hamlin St
Van Nuys, CA 91411-1406
Phone
(832) 312-9611
NPI assigned
Mar 20, 2018
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Mr. Aaron Crawford
Title
Agent
Phone
(818) 305-4147

Specialties & licenses 1

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

Addresses

Primary practice location

14942 Hamlin St
Van Nuys, CA 91411-1406

Mailing address

3031 N San Fernando Blvd Ste 100
Burbank, CA 91504-4704
Phone (832) 312-9611

Other names 1

  • Goldwing Recovery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1851895361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 N SAN FERNANDO BLVD STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044704",
            "telephone_number": "832-312-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14942 HAMLIN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111406",
            "telephone_number": "832-312-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDWING RECOVERY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "818-305-4147",
        "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": [
        {
            "organization_name": "Goldwing Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 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.