LANCE AARON KENNEDY
NPI 1104661925
Substance Abuse Rehabilitation Facility in Tarzana, CA

Q: What is Lance Kennedy's NPI number?

The NPI number for Lance Kennedy is 1104661925. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Q: What is Lance Kennedy'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 Lance Kennedy was last updated on June 25, 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.

Active since June 25, 2024

18811 REDWING ST, TARZANA, CA 91356(240) 205-9462 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lance Aaron Kennedy NPPES

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

LANCE AARON KENNEDY (NPI 1104661925) is an individual substance abuse rehabilitation facility provider in Tarzana, California and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1104661925

Entity TypeIndividualMale

Primary Taxonomy324500000X

Provider Legal NameLANCE AARON KENNEDY

Location Address18811 REDWING STTarzana, CA 91356-3341

Mailing Address18811 Redwing StTarzana, CA 91356-3341 · (240) 205-9462

Phone(240) 205-9462

Sole ProprietorYes

Enumeration DateJune 25, 2024

NPPES CertifiedJune 25, 2024

✔ NPI 1104661925 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.

18811 REDWING ST, Tarzana, CA 91356

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Other Providers at the Same Location NPPES

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

STAIRWAY RESOURCE CENTER INC.

Substance Abuse Rehabilitation Facility

18811 REDWING ST
TARZANA, CA 91356

Los Angeles County (949) 307-0585

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 Lance Kennedy's NPI number?

The NPI number for Lance Kennedy is 1104661925. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Lance Kennedy located?

Lance Kennedy practices at 18811 Redwing St, Tarzana, CA 91356. The listed phone number is (240) 205-9462.

What is Lance Kennedy'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 Lance Kennedy was last updated on June 25, 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.