Village Recovery Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

VILLAGE RECOVERY CENTER LLC

Practice address

21800 Burbank Blvd Ste 200
Woodland Hills, CA 91367-7451

Phone

(310) 795-0542

NPI assigned

Jan 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Yosef Grossman

Title

Ceo

Phone

(310) 795-0545

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1516406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1992213284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 BURBANK BLVD STE 200",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677451",
            "telephone_number": "310-795-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 BURBANK BLVD STE 200",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677451",
            "telephone_number": "310-795-0542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 E Thousand Oaks Blvd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913623555",
            "country_code": "US",
            "telephone_number": "310-795-0542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VILLAGE RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-20",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-795-0545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Villa Healing Center LLC
• Estephanie Villa Perez
• Benjamin Assaelle Villa
• Stacy Vanessa Villa
• Monica Gail Villacisneros
• Ian Villalobos
• Xitlali M Villalobos
• Maricela Villalta, PA-C
• Adali Villaobos Quintero
• Rommel Villaroman, PHARMD

• Substance Use Disorder Rehabilitation Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, 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 Mar 22, 2018; 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.