Advanced Detox and Rehab Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ADVANCED DETOX AND REHAB CENTER

Practice address

19122 Halsted St
Northridge, CA 91324-1716

Phone

(350) 500-0005

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Narek Khalatyan

Title

Ceo

Phone

(772) 888-1188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1912726233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19122 HALSTED ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241716",
            "telephone_number": "350-500-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19122 HALSTED ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241716",
            "telephone_number": "350-500-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DETOX AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "KHALATYAN",
        "authorized_official_first_name": "NAREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-888-1188",
        "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": []
}

• Adonai Congregate Living, Inc.
• Mary Shellah Elizabeth Adoremos, PT
• Advance Life Recovery
• Advance Pain Management Group
• Advanced Caregivers Inc (Advanced Home Care Services)
• Advanced Hand & Reconstructive Plastic Surgery Inc.
• Advanced Medtrans Inc.
• Advanced PT & Rehab
• Advent Health Home Care Services
• Affection Hospice Inc.

• Substance Abuse Rehabilitation Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.