CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC. (NPI# 1588024509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588024509 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC. |
| Other Organization Name | CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC |
| Practice Address |
9529 Corbin Ave Northridge CA 91324-2120 |
| Practice Telephone | 8187759431 |
| Practice Fax Number | 8186269749 |
| Mailing Telephone | 8187759431 |
| Mailing Fax Number | 8186269749 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | MR. EMMANUEL OYEBOBOLA (CEO) |
| Authorized Official Telephone | 1817759431 |
| Is Organization Subpart | Y |
| Parent Organization Name | CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190851BP | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DHCS. STATE LICENSE NUMBER 190851BP | 190851BP | 01 |
| Other Name | Type Code |
|---|---|
| CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134596356 | California New Life Detox and Recovery Homes, Inc. | Substance Abuse Rehabilitation Facility | 18134 Chase St, Northridge, CA 91325-3730 | 2015-08-24 |
| Street Address |
9529 CORBIN AVE |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| 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 |
|---|---|---|---|---|
| 1760099394 | Northridge Addiction Treatment Center LLC | Substance Abuse Rehabilitation Facility | 9450 Tampa Ave, Northridge, CA 91324-2746 | 2020-09-28 |
| 1972129351 | Empower Recovery Center LLC | Substance Abuse Rehabilitation Facility | 17027 Septo St, Northridge, CA 91325-1642 | 2020-06-22 |
| 1104455120 | Ams Progroup LLC | Substance Abuse Rehabilitation Facility | 9460 Wish Ave, Northridge, CA 91325-2536 | 2020-04-02 |
| 1710513593 | White Oak Recovery Center LLC | Substance Abuse Rehabilitation Facility | 19404 Roscoe Blvd, Northridge, CA 91324-4243 | 2020-03-12 |
| 1982258232 | Strategic Health Services LLC | Substance Abuse Rehabilitation Facility | 8418 Wilbur Ave, Northridge, CA 91324-4433 | 2019-07-25 |
| 1245684216 | Crossroad Transitional Inc. | Substance Abuse Rehabilitation Facility | 19646 Ballinger St, Northridge, CA 91324-2103 | 2016-04-15 |
| 1134596356 | California New Life Detox and Recovery Homes, Inc. | Substance Abuse Rehabilitation Facility | 18134 Chase St, Northridge, CA 91325-3730 | 2015-08-24 |
| 1053791897 | A New Solution | Substance Abuse Rehabilitation Facility | 9339 Louise Ave, Northridge, CA 91325-2427 | 2015-06-07 |
| 1326433111 | New Perceptions Inc | Substance Abuse Rehabilitation Facility | 17813 Malden St, Northridge, CA 91325-3815 | 2015-03-30 |
| 1417584087 | New Chapter Recovery | Substance Abuse Rehabilitation Facility | 18635 Malden St, Northridge, CA 91324-4618 | 2020-03-24 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91324 |
Please comment or provide details below to improve the information on CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC..
| 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.