DESTINY RECOVERY CENTER, LLC (NPI# 1114393832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114393832 |
| Entity Type | Organization |
| Organization Name | DESTINY RECOVERY CENTER, LLC |
| Practice Address |
23301 Bessemer St Woodland Hills CA 91367-3106 |
| Practice Telephone | 3107380008 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | MORDECHAI RUBIN (SOLE MEMBER) |
| Authorized Official Telephone | 7328561069 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
23301 BESSEMER ST |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| 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 |
|---|---|---|---|---|
| 1346852746 | Psyclarity Health Inc. | Substance Abuse Rehabilitation Facility | 22450 Collins St, Woodland Hills, CA 91367-4430 | 2020-08-18 |
| 1144831355 | Zen Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 23731 Killion St, Woodland Hills, CA 91367-5823 | 2020-08-11 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1689294472 | Active Recovery Solutions LLC | Substance Abuse Rehabilitation Facility | 5316 Lubao Ave, Woodland Hills, CA 91364-3623 | 2020-04-21 |
| 1033746607 | Nnl Group, Inc | Substance Abuse Rehabilitation Facility | 20318 Clark St, Woodland Hills, CA 91367-5506 | 2020-03-24 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1013555069 | Destinations To Recovery, LLC | Substance Abuse Rehabilitation Facility | 22842 Hatteras St, Woodland Hills, CA 91367-4231 | 2019-12-19 |
| 1053952952 | American Addiction Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 20706 Clarendon St, Woodland Hills, CA 91367-6816 | 2019-10-01 |
| 1629622972 | Strategic Health Services LLC | Substance Abuse Rehabilitation Facility | 23055 Califa St, Woodland Hills, CA 91367-4214 | 2019-07-25 |
| 1407413719 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 23018 Leonora Dr, Woodland Hills, CA 91367-6122 | 2019-05-22 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
Please comment or provide details below to improve the information on DESTINY RECOVERY CENTER, LLC.
| 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.