Organization Active NPI

Grandview Villas Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Encino, CA
National Provider Identifier
1942071642
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GRANDVIEW VILLAS RECOVERY CENTER LLC
Practice address
4550 Gable Dr
Encino, CA 91316-4354
Phone
(310) 877-7076
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Joseph Amin
Title
Ceo
Phone
(310) 877-7076

Specialties & licenses 1

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

Addresses

Primary practice location

4550 Gable Dr
Encino, CA 91316-4354

Mailing address

4550 Gable Dr
Encino, CA 91316-4354

Other identifiers 1

IdentifierTypeStateIssuer
191232APOtherCADEPARTMENT OF HEALTH CARE SERVICES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1942071642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 GABLE DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 GABLE DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164354",
            "telephone_number": "310-877-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW VILLAS RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-877-7076"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "191232AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.