JOURNEY HILLSIDE TARZANA, LLC
NPI 1831653617
Rehabilitation, Substance Use Disorder Unit in Tarzana, CA

NPI Status: Active since January 25, 2019

Contact Information

4706 VIVIANA DR
TARZANA, CA
ZIP 91356
Phone: (818) 996-6005

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  • Organization
  • Rehabilitation, Substance Use Disorder U...
  • CLIA Number: 05D2172804
  • CLIA Cert. Type: Other - DRUG ALCHOHOL REHAB
  • CLIA Exp. Date: 09-29-2025

About JOURNEY HILLSIDE TARZANA, LLC

This page provides the complete NPI Profile along with additional information for Journey Hillside Tarzana, Llc, a provider established in Tarzana, California operating as a Rehabilitation, Substance Use Disorder Unit. The healthcare provider is registered in the NPI registry with number 1831653617 assigned on January 2019. The practitioner's primary taxonomy code is 276400000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Assad Ullah Kakar (Cfo)

NPI
1831653617
Provider Name
JOURNEY HILLSIDE TARZANA, LLC
Entity Type
Organization
Location Address
4706 VIVIANA DR TARZANA, CA 91356
Location Phone
(818) 996-6005
Mailing Address
4706 VIVIANA DR TARZANA, CA 91356
Mailing Phone
(818) 996-6005
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2019
Last Update Date
01-25-2019
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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

Rehabilitation, Substance Use Disorder Unit

Taxonomy Code
276400000X
Type
Hospital Units
Taxonomy Description
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

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

ASSAD ULLAH KAKAR

Authorized Official Title
CFO
Authorized Official Phone
(818) 517-5103

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
05D2172804
Facility Type
Other - DRUG ALCHOHOL REHAB
Certificate Effective Date
September 30, 2023
Certificate Expiration Date
September 29, 2025
Laboratory Director
DANIEL ARONOW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Journey Hillside Tarzana, Llc 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.
1831653617
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861125662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 2 + 5 + 6 + 6 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1831653617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831653617, enumerated in the NPI registry as an "organization" on January 25, 2019

The provider is located at 4706 Viviana Dr Tarzana, Ca 91356 and the phone number is (818) 996-6005

This medical organization specializes in Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X

The provider's CLIA number is 05D2172804 for a "other - drug alchohol rehab" 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 January 25, 2019. 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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