Organization Active NPI

Evergreen Recovery

Doing business as Catalaya Recovery

  • Substance Abuse Rehabilitation Facility
  • Sylmar, CA
National Provider Identifier
1952093411
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EVERGREEN RECOVERY
Doing business as
Catalaya Recovery
Practice address
10364 Kurt St
Sylmar, CA 91342-6933
Phone
(818) 875-4215
Fax
(888) 305-0998
NPI assigned
May 23, 2023
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Karen Gary Mantizyan
Title
Ceo/Cfo
Phone
(818) 640-5590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

10364 Kurt St
Sylmar, CA 91342-6933

Mailing address

10364 Kurt St
Sylmar, CA 91342-6933
Phone (818) 469-4289

Other names 1

  • Catalaya Recovery Doing business as

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
05D2309697Evergreen Recovery Dba Catalaya Recovery10364 Kurt Street, Sylmar, CA 91342Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1952093411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10364 KURT ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426933",
            "telephone_number": "818-469-4289",
            "fax_number": "888-305-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10364 KURT ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426933",
            "telephone_number": "818-875-4215",
            "fax_number": "888-305-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "MANTIZYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "818-640-5590"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalaya Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.