EVOLVE GROWTH INITIATIVES, LLC


Address: 5358 Vanalden Drive, Tarzana, CA 91356
Phone: 4242815000

EVOLVE GROWTH INITIATIVES, LLC (NPI# 1780130088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780130088
Entity Type Organization
Organization Name EVOLVE GROWTH INITIATIVES, LLC
Other Organization Name EVOLVE TREATMENT CENTERS - VAN ALDEN
Practice Address 5358 Vanalden Drive
Tarzana
CA 91356
Mailing Address 300 N Pacific Coast Hwy Ste 2060
El Segundo
CA 90245-4479
Practice Telephone 4242815000
Mailing Telephone 7723619705
Enumeration Date 2016-08-28
Last Update Date 2020-08-20
Authorized Official Name EDDY LAI (CONTROLLER)
Authorized Official Telephone 7723619705
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
N 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
N 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Evolve Treatment Centers - Van Alden Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548721186 Evolve Growth Initiatives, LLC Clinic/Center 263 Montego Dr, Danville, CA 94526-4842 2019-03-27
1689114258 Evolve Growth Initiatives, LLC Community Based Residential Treatment Facility, Mental Illness 11585 Sorrento Valley Rd Ste 100, San Diego, CA 92121 2017-03-02
1972055812 Evolve Growth Initiatives, LLC Psychiatric Residential Treatment Facility 820 Moraga Drive, Los Angeles, CA 90049 2016-10-26
1356793947 Evolve Growth Initiatives, LLC Clinic/Center 4810 Azucena Rd, Woodland Hills, CA 91364 2016-07-07
1972955649 Evolve Growth Initiatives, LLC Community Based Residential Treatment Facility, Mental Illness 799 Camarillo Springs Road, Ventura, CA 93012 2016-07-06
1083161574 Evolve Growth Initiatives, LLC Substance Abuse Rehabilitation Facility 820 Moraga Dr, Los Angeles, CA 90049-1632 2016-09-01

Office Location

Street Address 5358 VANALDEN DRIVE
City TARZANA
State CA
Zip Code 91356

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679137293 Sarah Badreau Behavior Technician 5554 Reseda Blv., Tarzana, CA 91356 2019-04-29
1831661966 Daraie Dental Group Inc Dentist 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 2018-12-31
1982182770 Blanca Garay Respiratory Therapist, Registered 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 2018-08-02
1437659000 Chloe Kang Speech-Language Pathologist 19019 Ventura Blvd., Tarzana, CA 91356 2018-02-20
1114430139 Avb & Lv Corporation Home Health 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 2017-11-13
1881110468 Samina Qadir Registered Nurse 18321 Clark St., Tarzana, CA 91356 2017-08-16
1700306776 Debbie Rehman Lux Marriage & Family Therapist 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 2017-06-21
1467980631 Valley Nerological Services, LLC Radiology 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 2017-05-31
1669906020 Evolve Growth Initiatives LLC Clinic/Center 5435 Aura Avenue, Tarzana, CA 91356 2017-04-12
1215381470 Nargiz Zadeh Dentist 18740 Ventura Blvd Ste 208, Tarzana, CA 91356 2016-04-14
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578103214 La Detox LLC Community Based Residential Treatment Facility, Mental Illness 4901 Amigo Ave, Tarzana, CA 91356-4505 2020-01-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538244 Evolve Growth Initiatives LLC Community Based Residential Treatment Facility, Mental Illness 10525 Fuerte Dr, La Mesa, CA 91941-4350 2020-11-05
1154922458 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 24171 Grayston Dr, Lake Forest, CA 92630-3839 2020-11-03
1003417684 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 1155 Hoover St, Carlsbad, CA 92008-4230 2020-11-02
1497356075 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 405 N Tremont St, Oceanside, CA 92054-2535 2020-11-02
1467053041 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 2020-11-02
1366043937 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 2020-11-02
1730780313 Orchid Court, Inc. Community Based Residential Treatment Facility, Mental Illness 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 2020-11-02
1477151199 Inspiring Pathways, Inc. Community Based Residential Treatment Facility, Mental Illness 1798 Bryman St, Hanford, CA 93230-7144 2020-10-14
1356949226 Wings Recovery Center, Inc. Community Based Residential Treatment Facility, Mental Illness 3134 Morningside Dr, Oceanside, CA 92056-4401 2020-10-13
1326645904 New Passages Group Home, Inc. Community Based Residential Treatment Facility, Mental Illness 5675 E Ashlan Ave, Fresno, CA 93727-7220 2020-10-06
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Competitor

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City TARZANA
Zip Code 91356

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Dataset Information

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.

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