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OLA WELLNESS RETREAT, LLC
NPI 1053973230
Substance Abuse Rehabilitation Facility in Malibu, CA

Active since July 08, 2019CLIA Certified · 2 labs
30425 PACIFIC COAST HWY, MALIBU, CA 90265(888) 595-0235 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2020, Jul 8, 2019 (2 updates tracked since 2019).

About Ola Wellness Retreat, Llc NPPES

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

OLA WELLNESS RETREAT, LLC (NPI 1053973230) is a healthcare organization registered as a substance abuse rehabilitation facility in Malibu, California and active in the NPI registry since July 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Malibu, and lists Evan Haines, Co-ceo, as its authorized official.

NPPES Registry Identity

NPI1053973230
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameOLA WELLNESS RETREAT, LLC
Location Address30425 PACIFIC COAST HWYMalibu, CA 90265-3604
Mailing Address30765 Pacific Coast Hwy Ste 135Malibu, CA 90265-3643
Phone(888) 595-0235
Organization SubpartNo
Authorized OfficialEvan HainesCo-ceo · (310) 975-5344
Enumeration DateJuly 8, 2019
Last NPPES UpdateJune 16, 20222 updates tracked since enumeration
NPPES CertifiedJune 16, 2022
✔ NPI 1053973230 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.
30425 PACIFIC COAST HWY, Malibu, CA 90265
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Secondary Practice Location 1

Location 128955 Pacific Coast Hwy Ste 200Malibu, CA 90265-3953 · Phone (310) 579-5192

CLIA Laboratory Certificates CMS CLIA 2

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 05D2188630

Ola Wellness Retreat · Malibu, CA
Active · expires Jul 19, 2028
CLIA Number05D2188630
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorJason Giles
Laboratory Phone(310) 579-5192
Laboratory LocationOla Wellness Retreat30425 Pacific Coast Hwy, Malibu, CA 90265
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2121882

Ola Wellness Retreat · Malibu, CA
Active · expires Nov 14, 2026
CLIA Number05D2121882
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorJason Giles
Laboratory Phone(202) 379-8359
Laboratory LocationOla Wellness Retreat28955 Pacific Coast Highway Ste 200, Malibu, CA 90265
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ola Wellness Retreat, LLC's NPI number?

The NPI number for Ola Wellness Retreat, LLC is 1053973230. It was assigned to this organization in the NPPES registry on July 8, 2019.

Where is Ola Wellness Retreat, LLC located?

Ola Wellness Retreat, LLC is located at 30425 Pacific Coast Hwy, Malibu, CA 90265. The listed phone number is (888) 595-0235.

What is Ola Wellness Retreat, LLC's specialty?

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

Does Ola Wellness Retreat, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ola Wellness Retreat, LLC was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.