Passages Beverlywood LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PASSAGES BEVERLYWOOD LLC

Practice address

2370 S Robertson Blvd
Los Angeles, CA 90034-2029

Phone

(310) 589-2880

Fax

(310) 589-2858

NPI assigned

Dec 18, 2015

Organization subpart

Yes

Parent organization

GRASSHOPPER HOUSE LLCAs reported in NPPES

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

Authorized official

Name

Mr. Pax Prentiss

Title

Ceo

Phone

(310) 589-2880

Specialties & licenses 1

Addresses

Part of

Grasshopper House LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Grasshopper House, LLC

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
  • NPI 1790942159
  NPPES parent name

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1962867804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 MEADOWS CT",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654492",
            "telephone_number": "310-589-2880",
            "fax_number": "310-589-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342029",
            "telephone_number": "310-589-2880",
            "fax_number": "310-589-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGES BEVERLYWOOD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRASSHOPPER HOUSE LLC",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "PRENTISS",
        "authorized_official_first_name": "PAX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-589-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Ottus Pasnau, M.D.
• Jessica Nichole Pasqua, MD
• Maria Pasquarelli, PPD, NCS
• Sarah Pasquin, LMFT
• Pass It Forward Foundation
• Valerie Passano
• Jennifer Passarelli
• Alicia Tu Passaretti
• Ryan Colby Passaro
• Mary Kathleen Passehl, MFT, PSY.D

• Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.