VICTORIAS HOUSE, LLC (NPI# 1053855023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053855023 |
| Entity Type | Organization |
| Organization Name | VICTORIAS HOUSE, LLC |
| Practice Address |
1813 12th St Unit A Santa Monica CA 90404-4637 |
| Mailing Address |
1813 12th Street Unit A Santa Monica CA 90404 |
| Practice Telephone | 3104471335 |
| Mailing Telephone | 3104471335 |
| Enumeration Date | 2016-12-11 |
| Last Update Date | 2016-12-11 |
| Authorized Official Name | MS. JENEVIEVE MINELIAN (CEO DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3104471335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190955AP | CA | Residential Treatment Facilities |
| Street Address |
1813 12TH ST UNIT A |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574635 | Elizabeth Kohar Minelian | Counselor | 1813 12th St, Santa Monica, CA 90404-4637 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| 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 |
|---|---|---|---|---|
| 1972091999 | Foundation Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 222 Amalfi Dr, Santa Monica, CA 90402 | 2018-04-25 |
| 1477051761 | Sea Change Santa Monica, L.p. | Substance Abuse Rehabilitation Facility | 2205 Hill St, Santa Monica, CA 90405-5007 | 2018-02-01 |
| 1053823310 | Clare Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2207 -1/2 23rd St, Santa Monica, CA 90405-1725 | 2017-10-26 |
| 1508378860 | Clare Matrix | Substance Abuse Rehabilitation Facility | 2207 & 2207 1/2 23rd Street, Santa Monica, CA 90405-1725 | 2017-10-26 |
| 1962839746 | Clare Matrix | Substance Abuse Rehabilitation Facility | 1869-1871 9th St, Santa Monica, CA 90404-4501 | 2013-10-10 |
| 1780021071 | Pacific View Recovery Center | Substance Abuse Rehabilitation Facility | 643 Pacific St, Unit 1, Santa Monica, CA 90405-2437 | 2013-05-28 |
| 1245521509 | Cast Recovery Services | Substance Abuse Rehabilitation Facility | 1830 Lincoln Blvd Ste 111, Santa Monica, CA 90404-4524 | 2011-04-21 |
| 1043537913 | Clare Matrix | Substance Abuse Rehabilitation Facility | 905-909 Pico Blvd., Santa Monica, CA 90405-1326 | 2010-04-30 |
| 1891268066 | Strategic Health Services LLC | Substance Abuse Rehabilitation Facility | 222 Amalfi Dr, Santa Monica, CA 90402-1126 | 2019-01-09 |
| 1104398742 | Clare Matrix | Substance Abuse Rehabilitation Facility | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2018-12-20 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.