SIMI VALLEY RECOVERY, LLC (NPI# 1205343530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205343530 |
| Entity Type | Organization |
| Organization Name | SIMI VALLEY RECOVERY, LLC |
| Practice Address |
3069 Cisco Ct Simi Valley CA 93063-1809 |
| Practice Telephone | 7146550948 |
| Mailing Telephone | 7146550948 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | MR. SHAUN LENNERT (COO) |
| Authorized Official Telephone | 7146550948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
| Street Address |
3069 CISCO CT |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93063-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992253009 | Shawn Lauritz Miller Sr. | Substance Abuse Rehabilitation Facility | 3069 Cisco Ct, Simi Valley, CA 93063-1809 | 2016-09-18 |
| 1972055747 | Set Free Drug & Alcohol Treatment Centers of America | Substance Abuse Rehabilitation Facility | 3069 Cisco Ct, Simi Valley, CA 93063-1809 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1467925727 | Shelly Marie Spencer | Marriage & Family Therapist | 1985 Yosemite Ave Ste # 230, Simi Valley, CA 93063 | 2019-01-09 |
| 1245739150 | Hartounian Dental Group Inc. | Dentist | 4210 E Los Angeles Ave Ste F, Simi Valley, CA 93063 | 2018-02-06 |
| 1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
| 1598291064 | Golden Translating Services Inc | Community/Behavioral Health | 2112 Ralston Ave, Simi Valley, CA 93063 | 2017-05-03 |
| 1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
| 1164979332 | Megan Zigler | Specialist/Technologist | 2127 Atwater Ave, Simi Valley, CA 93063 | 2016-09-06 |
| 1700273521 | Jean Barker | Pharmacist | 5984 Yana Court, Simi Valley, CA 93063 | 2015-04-20 |
| 1992197248 | Pamela A. Riss | Marriage & Family Therapist | 2775 Tapo Street, Suite 204, Simi Valley, CA 93063 | 2015-02-24 |
| 1245580729 | Mary Aroyan | Marriage & Family Therapist | 3655 Alamo St Ste 202, Simi Valley, CA 93063 | 2012-09-12 |
| Find all providers in zip 93063 | ||||
| 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 |
|---|---|---|---|---|
| 1275003030 | Rise Luxury Rehab, LLC | Substance Abuse Rehabilitation Facility | 1950 Rocking Horse Dr, Simi Valley, CA 93065-5906 | 2018-12-04 |
| 1073093522 | Mt Process LLC | Substance Abuse Rehabilitation Facility | 1856 Deodora St, Simi Valley, CA 93065-3925 | 2018-08-15 |
| 1992253009 | Shawn Lauritz Miller Sr. | Substance Abuse Rehabilitation Facility | 3069 Cisco Ct, Simi Valley, CA 93063-1809 | 2016-09-18 |
| 1972055747 | Set Free Drug & Alcohol Treatment Centers of America | Substance Abuse Rehabilitation Facility | 3069 Cisco Ct, Simi Valley, CA 93063-1809 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SIMI VALLEY |
| Zip Code | 93063 |
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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.