PACIFIC RECOVERY SOLUTIONS (NPI# 1417432071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417432071 |
| Entity Type | Organization |
| Organization Name | PACIFIC RECOVERY SOLUTIONS |
| Other Organization Name | 3235 HILLOCK DRIVE |
| Practice Address |
3235 Hillock Dr Los Angeles CA 90068-1427 |
| Mailing Address |
7966 Beverly Blvd Ste 102 Los Angeles CA 90048-4511 |
| Practice Telephone | 3237450074 |
| Mailing Telephone | 9188047684 |
| Enumeration Date | 2018-09-30 |
| Last Update Date | 2019-11-03 |
| Authorized Official Name | BRADLEY ATHENS (CBO) |
| Authorized Official Telephone | 9188047684 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELYSIAN HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| 3235 Hillock Drive | Other Name - Individual/Organization |
| Detox East Facility | Other Name - Individual/Organization |
| Westwind Recovery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174065858 | Pacific Recovery Solutions | Substance Abuse Rehabilitation Facility | 7966 Beverly Blvd Fl 2, Los Angeles, CA 90048-4511 | 2016-11-10 |
| 1215412879 | Pacific Recovery Solutions | Substance Abuse Rehabilitation Facility | 7966 Beverly Blvd Fl 2, Los Angeles, CA 90048-4511 | 2018-09-30 |
| Street Address |
3235 HILLOCK DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90068-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083029367 | Valley Creek Hospice, Inc. | Hospice Care, Community Based | 3179 Barbara Court, F, Los Angeles, CA 90068 | 2014-06-25 |
| 1376892299 | Julio C Rivas | Religious Nonmedical Practitioner | 6800 Treasure Trail, Los Angeles, CA 90068 | 2012-09-06 |
| 1477817708 | Beverly Hansen Weisblatt | Marriage & Family Therapist | 6491 Ivarene Ave., Los Angeles, CA 90068 | 2012-07-02 |
| 1306169180 | Kambiz Kamangar | Dentist | 3400 Cahuenga Bvld West, #310, Los Angeles, CA 90068 | 2010-03-08 |
| 1578891370 | Stepping Stones Pediatric Therapy | Home Health | 3301 Tareco Drive, Los Angeles, CA 90068 | 2009-12-07 |
| 1376724757 | Jonathan Everett Rubinow | Preventive Medicine | 2759 Creston Dr, Los Angeles, CA 90068 | 2007-11-14 |
| 1366653479 | Julie Elizabeth Berghofer | Music Therapist | 3855 Broadlawn Dr, Los Angeles, CA 90068 | 2007-05-24 |
| 1467484287 | Lanny Orlin | Marriage & Family Therapist | 3171 Los Feliz Blvd, Suite 200, Los Angeles, CA 90068 | 2006-07-06 |
| 1396880514 | Back In Balance Physical Therapy | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| 1003941253 | Erin Mcguire | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| Find all providers in zip 90068 | ||||
| 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 |
|---|---|---|---|---|
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1396354577 | First Step Forward, Inc | Substance Abuse Rehabilitation Facility | 7523 S Western Ave, Los Angeles, CA 90047-2430 | 2020-07-23 |
| 1619598208 | Conquer Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1324 Keniston Ave, Los Angeles, CA 90019-1713 | 2020-05-05 |
| 1417595547 | Forward Recovery Solutions, LLC | Substance Abuse Rehabilitation Facility | 1428 Roxbury Dr, Los Angeles, CA 90035-2815 | 2019-12-19 |
| 1245878917 | Profound Treatment, LLC | Substance Abuse Rehabilitation Facility | 1990 Westwood Blvd Ste 305, Los Angeles, CA 90025-6596 | 2019-12-12 |
| 1245883594 | Vivian C Aranda | Substance Abuse Rehabilitation Facility | 4617 Zane St, Los Angeles, CA 90032-2039 | 2019-07-16 |
| 1770141764 | 310 Recovery | Substance Abuse Rehabilitation Facility | 1741 Hauser Blvd, Los Angeles, CA 90019-5111 | 2019-06-04 |
| 1689132284 | Mama and Papa Bear's Innovations, Inc | Substance Abuse Rehabilitation Facility | 5324 Fountain Ave, Los Angeles, CA 90029-1005 | 2019-03-04 |
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1669941811 | Cnv Detox Inc. | Substance Abuse Rehabilitation Facility | 5919 W 74th St, Los Angeles, CA 90045-1601 | 2018-11-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90068 |
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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.