4 SEASON DETOX AND RECOVERY HOUSE INC – NPI #1508534934
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.

4 SEASON DETOX AND RECOVERY HOUSE INC is a substance abuse rehabilitation facility located in SIMI VALLEY, CA. NPPES has assigned the NPI number 1508534934 to 4 SEASON DETOX AND RECOVERY HOUSE INC on August 31, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 3 years ago on Apr 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 4 SEASON DETOX AND RECOVERY HOUSE INC below.

NPI Profile for
4 SEASON DETOX AND RECOVERY HOUSE INC

NPI Number
1508534934
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
4 SEASON DETOX AND RECOVERY HOUSE INC
Primary location
3174 EVELYN AVE
SIMI VALLEY, CA 93063-1568
Phone: (424) 242-2540 Fax: (661) 296-2836
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ARSEN SAROYAN
SECRETARY
Phone: (818) 813-4363
Updated
Certification Date
Apr 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.