PATH TO SERENITY
NPI 1073962791
Substance Abuse Rehabilitation Facility in Villa Park, CA

Q: What is Sparkles Kc LLC's NPI number?

The NPI number for Sparkles Kc LLC is 1073962791. It was assigned to this organization in the NPPES registry on June 3, 2016. The provider is doing business as Path To Serenity.

Q: What is Sparkles Kc LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sparkles Kc LLC was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 03, 2016

10002 BRILEY WAY, VILLA PARK, CA 92861(949) 289-0350 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Path To Serenity NPPES

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

PATH TO SERENITY (NPI 1073962791) is a healthcare organization registered as a substance abuse rehabilitation facility in Villa Park, California and active in the NPI registry since June 2016. The organization lists Izzy Hirson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073962791

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSPARKLES KC LLC

Location Address10002 BRILEY WAYVilla Park, CA 92861-4219

Mailing Address8 Cheshire CtNewport Beach, CA 92660-4210 · (949) 289-0350

Phone(949) 289-0350

Organization SubpartNo

Authorized OfficialIzzy HirsonCeo · (949) 289-0350

Enumeration DateJune 3, 2016

✔ NPI 1073962791 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.

10002 BRILEY WAY, Villa Park, CA 92861

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Other Names 1

Doing Business AsPath To Serenity

Other Providers at the Same Location NPPES

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

RECOVERY BAY REHABILITATION CENTER

Substance Abuse Rehabilitation Facility

10002 BRILEY WAY
VILLA PARK, CA 92861

Orange County (949) 887-6379

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 Sparkles Kc LLC's NPI number?

The NPI number for Sparkles Kc LLC is 1073962791. It was assigned to this organization in the NPPES registry on June 3, 2016. The provider is doing business as Path To Serenity.

Where is Sparkles Kc LLC located?

Sparkles Kc LLC is located at 10002 Briley Way, Villa Park, CA 92861. The listed phone number is (949) 289-0350.

What is Sparkles Kc LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sparkles Kc LLC was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.