EVOLVE TREATMENT CENTERS - WOODLAND HILLS
NPI 1356793947
Community Based Residential Treatment Facility, Mental Illness in Woodland Hills, CA

NPI Status: Active since July 07, 2016

Contact Information

4810 AZUCENA RD
WOODLAND HILLS, CA
ZIP 91364
Phone: (424) 281-5000

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 05D2150077
  • CLIA Cert. Type: Other - RESID TRTMENT CENTER
  • CLIA Exp. Date: 06-14-2026

About EVOLVE TREATMENT CENTERS - WOODLAND HILLS

This page provides the complete NPI Profile along with additional information for Evolve Treatment Centers - Woodland Hills, a provider established in Woodland Hills, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1356793947 assigned on July 2016. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Evolve Treatment Centers - Woodland Hills. The authorized official of this NPI record is Eddy Lai (Controller)

NPI
1356793947
Provider Legal Name
EVOLVE GROWTH INITIATIVES, LLC
Other Organization Name
EVOLVE TREATMENT CENTERS - WOODLAND HILLS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4810 AZUCENA RD WOODLAND HILLS, CA 91364
Location Phone
(424) 281-5000
Mailing Address
300 N PACIFIC COAST HWY STE 2060 EL SEGUNDO, CA 90245
Mailing Phone
(772) 361-9705
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2016
Last Update Date
08-20-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
2323P00000XResidential Treatment Facilities

Psychiatric Residential Treatment Facility

 
3324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 
43245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EDDY LAI

Authorized Official Title
CONTROLLER
Authorized Official Phone
(772) 361-9705

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2150077
Facility Type
Other - RESID TRTMENT CENTER
Certificate Effective Date
June 15, 2024
Certificate Expiration Date
June 14, 2026
Laboratory Director
MELISSA VALLAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evolve Treatment Centers - Woodland Hills to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EVOLVE TREATMENT CENTERS - WOODLAND HILLS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356793947
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106149698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 4 + 9 + 6 + 9 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1356793947 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033639307EVOLVE GROWTH INITIATIVES LLC
Organization
Substance Abuse Rehabilitation Facility4810 AZUCENA RD
WOODLAND HILLS, CA 91364
(424) 281-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356793947, enumerated in the NPI registry as an "organization" on July 07, 2016

The provider is located at 4810 Azucena Rd Woodland Hills, Ca 91364 and the phone number is (424) 281-5000

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

The provider's CLIA number is 05D2150077 for a "other - resid trtment center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 07, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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