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GRATITUDE LODGE LLC
NPI 1033695754
Substance Abuse Rehabilitation Facility in Long Beach, CA

Active since July 16, 2018CLIA 05D2304481 · Waiver
3849 CHATWIN AVE, LONG BEACH, CA 90808(562) 359-6115 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gratitude Lodge Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRATITUDE LODGE LLC (NPI 1033695754) is a healthcare organization registered as a substance abuse rehabilitation facility in Long Beach, California and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Mark Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033695754
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGRATITUDE LODGE LLC
Location Address3849 CHATWIN AVELong Beach, CA 90808-2004
Mailing Address3849 Chatwin AveLong Beach, CA 90808-2004 · (562) 359-6115
Phone(562) 359-6115
Organization SubpartNo
Authorized OfficialMark WilliamsCeo · (800) 994-2184
Enumeration DateJuly 16, 2018
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1033695754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
3849 CHATWIN AVE, Long Beach, CA 90808
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2304481

Gratitude Lodge LLC · Long Beach, CA
Active · expires Aug 19, 2027
CLIA Number05D2304481
Laboratory TypeResidential Rehab Facilit
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorSanjai Thankachen
Laboratory Phone(714) 853-7753
Laboratory LocationGratitude Lodge LLC3849 Chatwin Ave, Long Beach, CA 90808
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARLENE GHAHREMANI M.A., LMFT
Marriage & Family Therapist
3849 CHATWIN AVE
LONG BEACH, CA 90808
Los Angeles County (800) 994-2184
HOPE'S LANDING
Substance Abuse Rehabilitation Facility
3849 CHATWIN AVE
LONG BEACH, CA 90808
Los Angeles County (949) 467-9213
BPP CHATWIN, LLC
Substance Abuse Rehabilitation Facility
3849 CHATWIN AVE
LONG BEACH, CA 90808
Los Angeles County (877) 435-7077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gratitude Lodge LLC's NPI number?

The NPI number for Gratitude Lodge LLC is 1033695754. It was assigned to this organization in the NPPES registry on July 16, 2018.

Where is Gratitude Lodge LLC located?

Gratitude Lodge LLC is located at 3849 Chatwin Ave, Long Beach, CA 90808. The listed phone number is (562) 359-6115.

What is Gratitude Lodge LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Gratitude Lodge LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2304481) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gratitude Lodge LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.