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
- 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | |
2 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | |
3 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
4 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
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.
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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. | |||||||||
1 | 3 | 5 | 6 | 7 | 9 | 3 | 9 | 4 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 10 | 6 | 14 | 9 | 6 | 9 | 8 | |
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 = 7 | 7 |
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 |
---|---|---|---|
1033639307 | EVOLVE GROWTH INITIATIVES LLC Organization | Substance Abuse Rehabilitation Facility | 4810 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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