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FAITH RECOVERY CENTER, INC
NPI 1114412392
Substance Abuse Rehabilitation Facility in Beverly Hills, CA

Active since June 28, 2018CLIA 05D2162748 · Waiver
2200 COLDWATER CANYON DR, BEVERLY HILLS, CA 90210(818) 220-3089 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Faith Recovery Center, Inc NPPES

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

FAITH RECOVERY CENTER, INC (NPI 1114412392) is a healthcare organization registered as a substance abuse rehabilitation facility in Beverly Hills, California and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Elen Antonyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114412392
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFAITH RECOVERY CENTER, INC
Location Address2200 COLDWATER CANYON DRBeverly Hills, CA 90210-1737
Mailing Address2200 Coldwater Canyon DrBeverly Hills, CA 90210-1737 · (818) 220-3089
Phone(818) 220-3089
Organization SubpartNo
Authorized OfficialElen AntonyanCeo · (818) 220-3089
Enumeration DateJune 28, 2018
✔ NPI 1114412392 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.

2200 COLDWATER CANYON DR, Beverly Hills, CA 90210
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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 05D2162748

Faith Recovery Center, Inc · Beverly Hills, CA
Active · expires Feb 27, 2027
CLIA Number05D2162748
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorLisa Benya
Laboratory Phone(818) 583-0960
Laboratory LocationFaith Recovery Center, Inc2200 Coldwater Canyon Drive, Beverly Hills, CA 90210
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 Faith Recovery Center, Inc's NPI number?

The NPI number for Faith Recovery Center, Inc is 1114412392. It was assigned to this organization in the NPPES registry on June 28, 2018.

Where is Faith Recovery Center, Inc located?

Faith Recovery Center, Inc is located at 2200 Coldwater Canyon Dr, Beverly Hills, CA 90210. The listed phone number is (818) 220-3089.

What is Faith Recovery Center, Inc's specialty?

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

Does Faith Recovery Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2162748) is associated with this NPI, valid through February 27, 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 Faith Recovery Center, Inc was last updated on June 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.