Active NPI
Open Heart Recovery
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1902340474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 190947AP
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.