Active NPI
Grandview Villas Recovery Center LLC
- Substance Abuse Rehabilitation Facility
- Encino, CA
National Provider Identifier
1942071642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191232AP | Other | CA | DEPARTMENT OF HEALTH CARE SERVICES |
National Provider Directory
National Provider DirectoryNPI 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.