Organization Active NPI

Open Heart Recovery

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1902340474
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190947AP Issued in CA
Legal business name
OPEN HEART RECOVERY
Practice address
4026 6TH Ave
Los Angeles, CA 90008-2733
Phone
(323) 389-8894
NPI assigned
Dec 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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

Authorized official

Name
Mr. Roderick L Brown
Title
Secretary
Phone
(310) 307-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190947AP CA Primary

Addresses

Primary practice location

4026 6TH Ave
Los Angeles, CA 90008-2733

Mailing address

4026 6TH Ave
Los Angeles, CA 90008-2733
Phone (323) 389-8894

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1902340474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 6TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082733",
            "telephone_number": "323-389-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 6TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082733",
            "telephone_number": "323-389-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEART RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-307-9299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190947AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.