Organization Active NPI

Casa Leona Recovery Center Inc.

  • Substance Abuse Rehabilitation Facility
  • Leona Valley, CA
National Provider Identifier
1932832151
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CASA LEONA RECOVERY CENTER INC.
Practice address
11249 Lonesome Valley Rd
Leona Valley, CA 93551-7608
Phone
(213) 465-6113
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Vrezh Isakulyan
Title
Chief Financial Officer
Phone
(818) 717-7711

Specialties & licenses 1

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

Addresses

Primary practice location

11249 Lonesome Valley Rd
Leona Valley, CA 93551-7608

Mailing address

11249 Lonesome Valley Rd
Leona Valley, CA 93551-7608
Phone (626) 922-6653

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2293849Casa Leona Recovery Center Inc11249 Lonesome Valley Rd.,, Leona Valley, CA 93551Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1932832151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11249 LONESOME VALLEY RD",
            "city": "LEONA VALLEY",
            "state": "CA",
            "postal_code": "935517608",
            "telephone_number": "626-922-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11249 LONESOME VALLEY RD",
            "city": "LEONA VALLEY",
            "state": "CA",
            "postal_code": "935517608",
            "telephone_number": "213-465-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA LEONA RECOVERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "ISAKULYAN",
        "authorized_official_first_name": "VREZH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "818-717-7711"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leona Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.