EXODUS RECOVERY INC (NPI# 1770623241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770623241 |
| Entity Type | Organization |
| Organization Name | EXODUS RECOVERY INC |
| Other Organization Name | EXODUS RECOVERY, INC - OP |
| Practice Address |
10811 Washington Blvd Ste 300 Culver City CA 90232-3619 |
| Mailing Address |
9808 Venice Blvd Ste 700 Culver City CA 90232-6824 |
| Practice Telephone | 4243426900 |
| Practice Fax Number | 5629995566 |
| Mailing Telephone | 3109453350 |
| Mailing Fax Number | 3109453355 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | MS. LEEANN SKOROHOD (SR VP OPERATIONS) |
| Authorized Official Telephone | 3109453350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7646 | 05 |
| Other Name | Type Code |
|---|---|
| Exodus Recovery, Inc - OP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700311073 | Exodus Recovery Inc | Community/Behavioral Health | 1902 Marengo St Ste 109 110, Los Angeles, CA 90033-1312 | 2017-04-25 |
| 1962063123 | Exodus Recovery Inc | Community/Behavioral Health | 1902 Marengo St Ste 107, Los Angeles, CA 90033-1378 | 2019-06-27 |
| 1972919850 | Exodus Recovery Inc | Community/Behavioral Health | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2014-07-11 |
| 1205254950 | Exodus Recovery Inc | Community/Behavioral Health | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2014-03-31 |
| 1386072304 | Exodus Recovery Inc | Community/Behavioral Health | 9808 Venice Blvd, Ste 300 and Patio, Culver City, CA 90232-2750 | 2013-10-30 |
| 1114171642 | Exodus Recovery Inc | Community/Behavioral Health | 1520 S Escondido Blvd, Escondido, CA 92025-6017 | 2008-11-11 |
| 1437360195 | Exodus Recovery Inc | Community/Behavioral Health | 923 S Catalina Ave, Redondo Beach, CA 90277-4718 | 2007-05-24 |
| 1245441906 | Exodus Recovery Inc | Community/Behavioral Health | 8401 S Vermont Ave, Los Angeles, CA 90044-3423 | 2007-05-24 |
| Street Address |
10811 WASHINGTON BLVD STE 300 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114548328 | Demus & Mayrant LLC | Community/Behavioral Health | 5916 Stoneview Dr, Culver City, CA 90232-3017 | 2020-04-28 |
| 1255692455 | Westside Infant-family Network | Community/Behavioral Health | 5721 W Slauson Ave, Suite 200, Culver City, CA 90230-6554 | 2012-06-04 |
| 1023149077 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 11133 Washington Blvd, Culver City, CA 90232-3918 | 2007-03-08 |
| 1952430696 | Kayne Eras Center, Inc | Community/Behavioral Health | 5350 Machado Ln, Culver City, CA 90230-8800 | 2007-03-05 |
| 1588793160 | Dw Management Enterprises Inc. | Community/Behavioral Health | 11936 Jefferson Blvd, Suite B, Culver City, CA 90230-6333 | 2007-03-02 |
| 1821132317 | Aspira Foster & Family Services - Los Angeles | Community/Behavioral Health | 5730 Uplander Way, Suite 202, Culver City, CA 90230-6617 | 2007-02-16 |
| 1306265954 | Lat Intensive Outpatient Programs Inc | Community/Behavioral Health | 11936 Jefferson Blvd, Suite B, Culver City, CA 90230-6333 | 2014-04-10 |
| 1205254950 | Exodus Recovery Inc | Community/Behavioral Health | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2014-03-31 |
| 1386072304 | Exodus Recovery Inc | Community/Behavioral Health | 9808 Venice Blvd, Ste 300 and Patio, Culver City, CA 90232-2750 | 2013-10-30 |
| 1649605049 | Advanced Iop Therapies, LLC | Community/Behavioral Health | 11936 Jefferson Blvd Ste B, Culver City, CA 90230-6333 | 2013-09-05 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90232 |
Please comment or provide details below to improve the information on EXODUS RECOVERY 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.