EVOLVE GROWTH INITIATIVES LLC NPI 1154872372

NPI Information

NPI: 1154872372
Provider Name: EVOLVE GROWTH INITIATIVES LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Other Name: EVOLVE TREATMENT CENTERS - AGOURA HILLS
CLIA Number: 05D2126813
Address: 6425 CHESEBRO ROAD
AGOURA, CA
ZIP 91301
Phone: (424) 281-5000

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NPI Details

EVOLVE GROWTH INITIATIVES LLC is a community based residential treatment facility mental illness in Agoura, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EVOLVE GROWTH INITIATIVES LLC NPI is 1154872372. The provider is registered as an organization entity type.
The provider Other Name Is Evolve Treatment Centers - Agoura Hills.

The provider's business location address is:

6425 CHESEBRO ROAD
AGOURA, CA
ZIP 91301
Phone: (424) 281-5000

The provider's authorized official is Eddy Lai .
The authorized official title is Controller and has the following contact phone number (772) 361-9705.

The CLIA number assigned to this NPI record is 05D2126813 - other - residential treatment ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2016 and was last updated on 8/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
2	323P00000X	Psychiatric Residential Treatment Facility		No
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
5	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05D2126813	OTHER	CALIFORNIA	CLIA
2	198209044	OTHER	CALIFORNIA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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