SERVICE INDUSTRIES, INC. (NPI# 1528442936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528442936 |
| Entity Type | Organization |
| Organization Name | SERVICE INDUSTRIES, INC. |
| Other Organization Name | CLIFFSIDE MALIBU OUTPATIENT SERVICES - SHERMAN OAKS |
| Practice Address |
15250 Ventura Blvd Suite 1100 Sherman Oaks CA 91403 |
| Mailing Address |
29160 Heathercliff Rd., Ste. 200 Malibu CA 90265 |
| Practice Telephone | 4242171052 |
| Practice Fax Number | 3104561860 |
| Mailing Telephone | 4242171052 |
| Mailing Fax Number | 3104561860 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | MS. KELLY STEPHENSON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3105791004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
190856AP | CA | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
190069AP | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cliffside Malibu Outpatient Services - Sherman Oaks | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SERVICE INDUSTRIES, INC. | 385 Broadway, Revere, MA 02151 |
| Washington State Corporations | SERVICE INDUSTRIES, INC. | 5531 Broadview Ne, Tacoma, WA 98422 |
| Street Address |
15250 VENTURA BLVD SUITE 1100 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144867060 | Spark To Recovery Inc | Clinic/Center | 5449 Woodman Ave, Sherman Oaks, CA 91401-5832 | 2019-12-10 |
| 1467094722 | Addiction Recovery Center La LLC | Clinic/Center | 4734 Sunnyslope Ave, Sherman Oaks, CA 91423-2410 | 2019-10-08 |
| 1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
| 1871929612 | Twin Town Corporation | Clinic/Center | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2013-09-25 |
| 1902341118 | Vida Family Services | Clinic/Center | 4419 Van Nuys Blvd, 307, Sherman Oaks, CA 91403-2910 | 2016-12-23 |
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| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
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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.