VITA BEHAVIORAL HEALTH INC (NPI# 1285152744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285152744 |
| Entity Type | Organization |
| Organization Name | VITA BEHAVIORAL HEALTH INC |
| Practice Address |
14000 Valerio St Van Nuys CA 91405-2533 |
| Practice Telephone | (747) 998-5627 |
| Practice Fax Number | 8184751799 |
| Mailing Telephone | 7479985627 |
| Mailing Fax Number | 8184751799 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Authorized Official Name | MS. CRYSTAL AVAKYAN (OWNER) |
| Authorized Official Telephone | 7479985627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPARTMENT OF HEALTH CARE SERVICES | 190789AP | 01 |
| Street Address |
14000 VALERIO ST |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490251 | Valley Detox and Rehabilitation, LLC | Substance Abuse Rehabilitation Facility | 14000 Valerio St, Van Nuys, CA 91405-2533 | 2016-11-28 |
| 1114416427 | Veneill Elena Latham | Marriage & Family Therapist | 14000 Valerio St, Van Nuys, CA 91405-2533 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| 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 |
|---|---|---|---|---|
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1851895361 | Goldwing Recovery Co. | Substance Abuse Rehabilitation Facility | 14942 Hamlin St, Van Nuys, CA 91411-1406 | 2018-03-20 |
| 1497290951 | Infinite Recovery Solutions, LLC | Substance Abuse Rehabilitation Facility | 7811 Peach Ave, Van Nuys, CA 91406-2031 | 2016-12-19 |
| 1417490251 | Valley Detox and Rehabilitation, LLC | Substance Abuse Rehabilitation Facility | 14000 Valerio St, Van Nuys, CA 91405-2533 | 2016-11-28 |
| 1598139693 | Active Recovery Solutions LLC | Substance Abuse Rehabilitation Facility | 15120 Vose St, Van Nuys, CA 91405-2935 | 2015-11-30 |
| 1235500810 | Tarzana Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 13751 Sherman Way Apt 401, Van Nuys, CA 91405-2684 | 2015-10-08 |
| 1407222870 | Steps To Recovery Corp | Substance Abuse Rehabilitation Facility | 14432-14434 Gilmore St., Van Nuys, CA 91401 | 2015-08-19 |
| 1851715452 | Bridges Recovery Center | Substance Abuse Rehabilitation Facility | 15214 Leadwell St, Van Nuys, CA 91405-1735 | 2014-02-18 |
| 1326202037 | Jack London Continuation School | Substance Abuse Rehabilitation Facility | 12924 Oxnard St, Van Nuys, CA 91401-4104 | 2008-07-11 |
| 1386170900 | Discovery Transitions Outpatient | Substance Abuse Rehabilitation Facility | 17635 Vanowen St, Van Nuys, CA 91406-4353 | 2017-05-02 |
| Find all providers in VAN NUYS | ||||
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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.