Organization Active NPI

Eternal Purpose Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • North Hollywood, CA
National Provider Identifier
1952975310
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ETERNAL PURPOSE RECOVERY CENTER LLC
Practice address
5817 Cleon Ave
North Hollywood, CA 91601-1426
Phone
(704) 450-2117
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Michael Cioffi
Title
Ceo
Phone
(732) 610-0878

Specialties & licenses 2

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

Addresses

Primary practice location

5817 Cleon Ave
North Hollywood, CA 91601-1426

Mailing address

5817 Cleon Ave
North Hollywood, CA 91601-1426
Phone (704) 450-2117

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
05D2288428Eternal Purpose Recovery Center LLC5817 Cleon Ave, North Hollywood, CA 91601Certificate of waiverAug 23, 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": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1952975310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 CLEON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011426",
            "telephone_number": "704-450-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5817 CLEON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011426",
            "telephone_number": "704-450-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL PURPOSE RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-01-30",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "CIOFFI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-610-0878"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.