DESIRE 4 CHANGE LIVING IOP (NPI# 1548708365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548708365 |
| Entity Type | Organization |
| Organization Name | DESIRE 4 CHANGE LIVING IOP |
| Practice Address |
17019 San Jose St Granada Hills CA 91344-6238 |
| Practice Telephone | 3103459618 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | MS. KIMBERLEE SAFFORE (EXECUTIVE PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3103459618 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
17019 SAN JOSE ST |
| City | GRANADA HILLS |
| State | CA |
| Zip Code | 91344-6238 |
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|---|---|---|---|---|
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| 1710547690 | The Institute for Professional Parenting (tipp) | Psychologist | 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 | 2019-06-13 |
| 1972066934 | Apple Speech and Educational Services, Inc. | Speech-Language Pathologist | 16853 Rinaldi Street, Granada Hills, CA 91344 | 2019-04-08 |
| 1376016642 | Hypnos Sleep Laboratory & Treatement Center, Inc | Clinic/Center | 17050 Chatsworth Blvd. Suite 243, Granada Hills, CA 91344 | 2019-01-09 |
| 1225503543 | Miguel Angel Salas | Naturopath | 10315 Woodley Ave., Suite 103 & 104, Granada Hills, CA 91344 | 2018-10-13 |
| 1790264588 | Ben Maguerrero | Respiratory Therapist, Registered | 16851 Simonds St, Granada Hills, CA 91344 | 2018-08-13 |
| 1265962856 | Safe Med Tranz Inc. | Non-emergency Medical Transport (VAN) | 16000 Horace St, Granada Hills, CA 91344 | 2017-06-15 |
| 1942731302 | Arthur Perez | Physical Therapy Assistant | 11233 Montgomery Ave., Granada Hills, Granada Hills, CA 91344 | 2017-03-27 |
| 1649718990 | Eugene Tan Aguilar | Nurse Practitioner | 16718 San Fernando Mission Blvd, Granada Hills, CA 91344 | 2017-02-07 |
| 1295282739 | San Fernando Mission Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 17157 San Fernando Mission Blvd., Granada Hills, CA 91344 | 2016-09-01 |
| Find all providers in zip 91344 | ||||
| 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 |
|---|---|---|---|---|
| 1295996668 | San Fernando Valley Adult Day Healthcare | Substance Abuse Rehabilitation Facility | 10660 White Oak Ave Ste C, Granada Hills, CA 91344-5953 | 2008-06-19 |
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| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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| City | GRANADA HILLS |
| Zip Code | 91344 |
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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.