Coast Recovery Treatment Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COAST RECOVERY TREATMENT CENTER LLC

Practice address

4789 Vineland Ave
North Hollywood, CA 91602-3518

Phone

(213) 347-4022

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Terence C Frost, MPHIL, BPHIL NCDMA

Title

President

Phone

(213) 347-4022

Specialties & licenses 1

Addresses

Other names 1

• Coast Recovery Doing business as

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1932940889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5748 WILLOWCREST AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012122",
            "telephone_number": "213-347-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 VINELAND AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023518",
            "telephone_number": "213-347-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST RECOVERY TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-347-4022",
        "authorized_official_credential": "MPHIL, BPHIL NCDMA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coast Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.