Project Rebuild, Inc.

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

PROJECT REBUILD, INC.

Practice address

3933 W 28TH St
Los Angeles, CA 90018-2351

Phone

(424) 644-4714

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Charles Taylor

Title

Ceo

Phone

(424) 644-4714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1982386397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 W 28TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900182351",
            "telephone_number": "424-644-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 W 28TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900182351",
            "telephone_number": "424-644-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT REBUILD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-644-4714"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recovery Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Recovery Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.