IRIS HEALING CENTER LLC (NPI# 1144734922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144734922 |
| Entity Type | Organization |
| Organization Name | IRIS HEALING CENTER LLC |
| Practice Address |
20300 Ventura Blvd Ste 300 Woodland Hills CA 91364-0901 |
| Mailing Address |
5455 Sylmar Ave Apt 206 Sherman Oaks CA 91401-5113 |
| Practice Telephone | 3234490016 |
| Practice Fax Number | 3234490016 |
| Mailing Telephone | 3234490016 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | ELENA KAPUSTINA (CEO) |
| Authorized Official Telephone | 8184362646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
20300 VENTURA BLVD STE 300 |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364-0901 |
| 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 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 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 |
| 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 |
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| 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.