NPIMap

Organization Active NPI

CMR Rehab Center of Sherman Oaks, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1992456255
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CMR REHAB CENTER OF SHERMAN OAKS, LLC
Practice address
15303 Ventura Blvd # 900-3
Sherman Oaks, CA 91403-3110
Phone
(747) 332-5800
NPI assigned
Jan 18, 2022
Organization subpart
Yes
Parent organization
CRESCENT MOON RECOVERY- ORANGE COUNTY IOP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Mr. Jeff Evans
Title
Admissions Coordinator
Phone
(646) 761-9659

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

15303 Ventura Blvd # 900-3
Sherman Oaks, CA 91403-3110

Mailing address

15303 Ventura Blvd # 900-3
Sherman Oaks, CA 91403-3110
Phone (747) 332-5800

National Provider Directory

National Provider Directory
Tax ID family
Crescent Moon Recovery- Orange County Iop LLC6 organizations share this tax ID, including this one
Part of
Crescent Moon Recovery- Orange County Iop LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15303 Ventura Blvd
#9003
Sherman Oaks, CA 91403
Phone (747) 332-5800

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1992456255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 VENTURA BLVD # 900-3",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033110",
            "telephone_number": "747-332-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 VENTURA BLVD # 900-3",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033110",
            "telephone_number": "747-332-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMR REHAB CENTER OF SHERMAN OAKS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRESCENT MOON RECOVERY- ORANGE COUNTY IOP, LLC",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "ADMISSIONS COORDINATOR",
        "authorized_official_telephone_number": "646-761-9659",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.