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RENAISSANCE MALIBU
NPI 1114175908
Substance Abuse Rehabilitation Facility in Agoura Hills, CA

Active since September 04, 2008
30101 AGOURA CT LBBY 3, AGOURA HILLS, CA 91301(818) 707-8102(818) 707-8111 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renaissance Malibu NPPES

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

RENAISSANCE MALIBU (NPI 1114175908) is a healthcare organization registered as a substance abuse rehabilitation facility in Agoura Hills, California and active in the NPI registry since September 2008. The organization lists Salvatore Petrucci, President, as its authorized official.

NPPES Registry Identity

NPI1114175908
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRENAISSANCE RECOVERY SERVICES, LLC
Location Address30101 AGOURA CT LBBY 3Agoura Hills, CA 91301-4300
Mailing Address30765 Pacific Coast Hwy # 356Malibu, CA 90265-3646 · (818) 707-8102 · Fax (818) 707-8111
Phone(818) 707-8102
Fax(818) 707-8111
Organization SubpartNo
Authorized OfficialSalvatore PetrucciPresident · (818) 707-8102
Enumeration DateSeptember 4, 2008
✔ NPI 1114175908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Licenses✔ Licensed in CA · 190392AP✔ Licensed in CA · 190392BP
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.
30101 AGOURA CT LBBY 3, Agoura Hills, CA 91301
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Other Names 1

Doing Business AsRenaissance Malibu

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 Renaissance Recovery Services, LLC's NPI number?

The NPI number for Renaissance Recovery Services, LLC is 1114175908. It was assigned to this organization in the NPPES registry on September 4, 2008. The provider is doing business as Renaissance Malibu.

Where is Renaissance Recovery Services, LLC located?

Renaissance Recovery Services, LLC is located at 30101 Agoura Ct Lbby 3, Agoura Hills, CA 91301. The listed phone number is (818) 707-8102.

What is Renaissance Recovery Services, 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 Renaissance Recovery Services, LLC was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.