RESTORATIVE RESIDENTIAL LLC NPI 1235673963

NPI Information

  • NPI: 1235673963
  • Provider Name: RESTORATIVE RESIDENTIAL LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: LIGHTFULLY BEHAVIORAL HEALTH
  • CLIA Number: 05D2285206
  • Address: 1414 SAN VICENTE BLVD
    SANTA MONICA, CA
    ZIP 90402
  • Phone: (885) 762-8088

Map and Directions

Get Directions

NPI Details

RESTORATIVE RESIDENTIAL LLC is a community based residential treatment facility mental illness in Santa Monica, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. RESTORATIVE RESIDENTIAL LLC NPI is 1235673963. The provider is registered as an organization entity type.
The provider Is Doing Business As Lightfully Behavioral Health.

The provider's business location address is:

1414 SAN VICENTE BLVD
SANTA MONICA, CA
ZIP 90402-204
Phone: (885) 762-8088

The provider's authorized official is Tracy Marie Rogers .
The authorized official title is Vp Of Revenue and has the following contact phone number (805) 728-9093.

The CLIA number assigned to this NPI record is 05D2285206 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2016 and was last updated on 10/13/2022.

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 License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI