EVOLVE GROWTH INITIATIVES LLC (NPI# 1033639307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033639307 |
| Entity Type | Organization |
| Organization Name | EVOLVE GROWTH INITIATIVES LLC |
| Practice Address |
4810 Azucena Rd Woodland Hills CA 91364-4040 |
| Mailing Address |
820 Moraga Dr Los Angeles CA 90049-1632 |
| Practice Telephone | 4242815000 |
| Mailing Telephone | (424) 281-5000 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | ARON GITTLESON (CEO) |
| Authorized Official Telephone | 7189319700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1639711039 | Evolve Growth Initiatives LLC | Clinic/Center | 123 Brodia Way, Walnut Creek, CA 94598-4919 | 2019-10-17 |
| 1548802945 | Evolve Growth Initiatives LLC | Clinic/Center | 1261 Panorama Dr, Lafayette, CA 94549-2412 | 2019-10-17 |
| 1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
| 1669985867 | Evolve Growth Initiatives LLC | Clinic/Center | 2560 Butch Dr, Gilroy, CA 95020 | 2017-11-09 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1245682087 | Evolve Growth Initiatives LLC | Clinic/Center | 599 Quail Oaks Dr, Ojai, CA 93023 | 2016-07-05 |
| 1912310947 | Evolve Growth Initiatives LLC | Clinic/Center | 820 Moraga Dr, Los Angeles, CA 90049-1632 | 2014-06-06 |
| 1922581297 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 1991 Park Ave, San Jose, CA 95126-1423 | 2018-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | EVOLVE GROWTH INITIATIVES LLC | 820 Moraga Dr, Los Angeles, CA 90049 |
| Street Address |
4810 AZUCENA RD |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
| 1225395551 | Sherry L. Rotchford | Marriage & Family Therapist | 22028 Ventura Blvd., #203, Woodland Hills, CA 91364 | 2012-04-11 |
| Find all providers in zip 91364 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852746 | Psyclarity Health Inc. | Substance Abuse Rehabilitation Facility | 22450 Collins St, Woodland Hills, CA 91367-4430 | 2020-08-18 |
| 1144831355 | Zen Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 23731 Killion St, Woodland Hills, CA 91367-5823 | 2020-08-11 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1689294472 | Active Recovery Solutions LLC | Substance Abuse Rehabilitation Facility | 5316 Lubao Ave, Woodland Hills, CA 91364-3623 | 2020-04-21 |
| 1033746607 | Nnl Group, Inc | Substance Abuse Rehabilitation Facility | 20318 Clark St, Woodland Hills, CA 91367-5506 | 2020-03-24 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1013555069 | Destinations To Recovery, LLC | Substance Abuse Rehabilitation Facility | 22842 Hatteras St, Woodland Hills, CA 91367-4231 | 2019-12-19 |
| 1053952952 | American Addiction Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 20706 Clarendon St, Woodland Hills, CA 91367-6816 | 2019-10-01 |
| 1629622972 | Strategic Health Services LLC | Substance Abuse Rehabilitation Facility | 23055 Califa St, Woodland Hills, CA 91367-4214 | 2019-07-25 |
| 1407413719 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 23018 Leonora Dr, Woodland Hills, CA 91367-6122 | 2019-05-22 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91364 |
Please comment or provide details below to improve the information on EVOLVE GROWTH INITIATIVES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.