22703 SYLVAN STREET DETOX LLC – NPI #1760053391
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

22703 SYLVAN STREET DETOX LLC is a substance abuse rehabilitation facility located in WOODLAND HILLS, CA. NPPES has assigned the NPI number 1760053391 to 22703 SYLVAN STREET DETOX LLC on July 06, 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 May 11, 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 22703 SYLVAN STREET DETOX LLC below.

NPI Profile for
22703 SYLVAN STREET DETOX LLC

NPI Number
1760053391
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
22703 SYLVAN STREET DETOX LLC
Primary location
22703 SYLVAN ST
WOODLAND HILLS, CA 91367-1625
Phone: (828) 367-8727 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL KEANE
COO
Phone: (424) 229-2061
Updated
Certification Date
May 11, 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.