ACTIVE RECOVERY CENTER, INC. (NPI# 1902237209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902237209 |
| Entity Type | Organization |
| Organization Name | ACTIVE RECOVERY CENTER, INC. |
| Practice Address |
6316 Etiwanda Ave Tarzana CA 91335-7032 |
| Practice Telephone | 8774441190 |
| Mailing Telephone | 8774441190 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | DREW EDWARDS (BILLING MANAGER) |
| Authorized Official Telephone | 7542013980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190790AP | CA | Residential Treatment Facilities |
| Street Address |
6316 ETIWANDA AVE |
| City | TARZANA |
| State | CA |
| Zip Code | 91335-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| 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 |
|---|---|---|---|---|
| 1922623040 | West Valley Detox Treatment | Substance Abuse Rehabilitation Facility | 18841 Pasadero Dr, Tarzana, CA 91356-5224 | 2020-06-15 |
| 1124666334 | Avedis Detox Inc. | Substance Abuse Rehabilitation Facility | 4945 Lindley Ave, Tarzana, CA 91356-4319 | 2019-12-18 |
| 1750929923 | West Health Inc. | Substance Abuse Rehabilitation Facility | 4725 Vanalden Ave, Tarzana, CA 91356-5036 | 2019-12-18 |
| 1770126849 | Vogue Recovery California, LLC | Substance Abuse Rehabilitation Facility | 4960 Vanalden Ave, Tarzana, CA 91356-4718 | 2019-10-22 |
| 1275002743 | 7 Star Recovery LLC | Substance Abuse Rehabilitation Facility | 4709 Caritina Dr, Tarzana, CA 91356-5010 | 2018-11-14 |
| 1629552542 | Nautilus Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 5803 Corbin Ave, Tarzana, CA 91356-1004 | 2018-09-17 |
| 1356846786 | Real Estate Holiday Rentals Booking Worldwide, LLC | Substance Abuse Rehabilitation Facility | 6040 Calvin Ave, Tarzana, CA 91356-1115 | 2018-03-27 |
| 1124572706 | Peace By Piece Treatment Center Inc | Substance Abuse Rehabilitation Facility | 5343 Shirley Ave, Tarzana, CA 91356-2908 | 2016-08-11 |
| 1104443779 | Cmj Recovery Ca LLC | Substance Abuse Rehabilitation Facility | 4960 Vanalden Ave, Tarzana, CA 91356-4718 | 2020-06-30 |
| 1477040772 | System 3 Recovery, Inc. | Substance Abuse Rehabilitation Facility | 5343 Shirley Ave, Tarzana, CA 91356 | 2018-04-23 |
| Find all providers in TARZANA | ||||
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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.