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BEIT T'SHUVAH NPI 1396926754


NPI Information

NPI: 1396926754
Provider Name: BEIT T'SHUVAH
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2094803

Address:
8831 VENICE BLVD
LOS ANGELES, CA
ZIP 90034
Phone: (310) 204-5200
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BEIT T'SHUVAH is a substance abuse rehabilitation facility in Los Angeles, CA. The provider is 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. BEIT T'SHUVAH NPI is 1396926754. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8831 VENICE BLVD
LOS ANGELES, CA
ZIP 90034-223
Phone: (310) 204-5200
Fax: (310) 838-3545

The provider's authorized official is Sergio Rizzo-fontanesi .
The authorized official title is Executive Director and has the following contact phone number (310) 204-5200.

The CLIA number assigned to this NPI record is 05D2094803 - other - residential treatment ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 8/18/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)190326ANCALIFORNIANo
2324500000XSubstance Abuse Rehabilitation Facility190326ANCALIFORNIAYes

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: 4/28/2024

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