NPIMap

Organization Active NPI

Destinations to Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Henderson, NV
National Provider Identifier
1881046019
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
NV20161133893 Issued in NV
Legal business name
DESTINATIONS TO RECOVERY, LLC
Practice address
9089 S Pecos Rd
Suite 3500
Henderson, NV 89074-7183
Phone
(818) 737-2221
Fax
(818) 737-2222
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Daniel Alon Samson
Title
Founder/President
Phone
(818) 737-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NV20161133893 NV Primary

Addresses

Primary practice location

9089 S Pecos Rd
Suite 3500
Henderson, NV 89074-7183

Mailing address

21051 Warner Center LN
Suite 220
Woodland Hills, CA 91367-6551
Phone (818) 737-2221

National Provider Directory

National Provider Directory
Tax ID family
Destinations to Recovery LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

9089 S Pecos Rd
Ste 3500
Henderson, NV 89074
Phone (702) 550-7025

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1881046019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21051 WARNER CENTER LN",
            "address_2": "SUITE 220",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676551",
            "telephone_number": "818-737-2221",
            "fax_number": "818-737-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9089 S PECOS RD",
            "address_2": "SUITE 3500",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747183",
            "telephone_number": "818-737-2221",
            "fax_number": "818-737-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATIONS TO RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ALON",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "818-737-2221"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NV",
            "license": "NV20161133893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.