Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIPOSA RECOVERY HOME
NPI 1124306386
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since July 21, 2011CLIA Certified · 9 labs
453 S INDIANA ST, LOS ANGELES, CA 90063(323) 266-7725(323) 266-7742 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Mar 4, 2024, Jan 27, 2023 and 2 more (5 updates tracked since 2016).

About Mariposa Recovery Home NPPES

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

MARIPOSA RECOVERY HOME (NPI 1124306386) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since July 2011. The organization holds 9 active CLIA laboratory certificates and lists Lynetta Louise Hale, Senior Director, Clinical Services, as its authorized official.

NPPES Registry Identity

NPI1124306386
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMARIPOSA RECOVERY HOME
Location Address453 S INDIANA STLos Angeles, CA 90063-3908
Mailing Address453 S Indiana StLos Angeles, CA 90063-3908 · (323) 266-7725
Fax(323) 266-7742
Organization SubpartYesParent: Social Model Recovery Systems, Inc.
Authorized OfficialLynetta Louise HaleSenior Director, Clinical Services · (626) 332-3145
Enumeration DateJuly 21, 2011
Last NPPES UpdateJuly 30, 20265 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1124306386 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.
453 S INDIANA ST, Los Angeles, CA 90063

Other Names 1

Other NameMariposa Recovery Home

CLIA Laboratory Certificates CMS CLIA 9

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 05D2271338

Social Model Recovery Systems Mariposa Recovery Home · Los Angeles, CA
Active · expires Oct 31, 2026
CLIA Number05D2271338
Laboratory TypeSubst Use Treatment Prog
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorSaid I. Jacob
Laboratory Phone(626) 332-3145
Laboratory LocationSocial Model Recovery Systems Mariposa Recovery Home453 S Indiana St, Los Angeles, CA 90063
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 05D2271324

Social Model Recovery Systems, Pcadd · Pasadena, CA
Active · expires Oct 31, 2026
CLIA Number05D2271324
Laboratory TypeSubst. Use Treatment Pro
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorSaid I. Jacob
Laboratory Phone(626) 332-3145
Laboratory LocationSocial Model Recovery Systems, Pcadd44 S Mentor Ave, Pasadena, CA 91107
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2271329

Social Model Recovery Systems Royal Palms Recovery Center · Los Angeles, CA
Active · expires Oct 31, 2026
CLIA Number05D2271329
Laboratory TypeSubst. Use Treatment Prog
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorDonald J. Kurth Jr
Laboratory Phone(626) 332-3145
Laboratory LocationSocial Model Recovery Systems Royal Palms Recovery Center360 S Westlake Ave, Los Angeles, CA 90057
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2271333

Social Model Recovery Systems River Community Day Treatment · Covina, CA
Active · expires Oct 31, 2026
CLIA Number05D2271333
Laboratory TypeSubst Use Treatment Prog
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorSaid I. Jacob
Laboratory Phone(626) 332-3145
Laboratory LocationSocial Model Recovery Systems River Community Day Treatment510 S 2nd Ave Ste 6, Covina, CA 91723
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2271336

Social Model Recovery Systems The River Community · Azusa, CA
Active · expires Oct 31, 2026
CLIA Number05D2271336
Laboratory TypeSubst Use Treatment Prog
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorDonald J. Kurth Jr
Laboratory Phone(626) 332-3145
Laboratory LocationSocial Model Recovery Systems The River Community23701 E East Fork Rd, Azusa, CA 91702
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2270708

Social Model Recovery Systems Bimini Recovery Center · Los Angeles, CA
Active · expires Oct 19, 2026
CLIA Number05D2270708
Laboratory TypeSubst. Use Treatment Prog
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDonald Kurth Jr.
Laboratory Phone(626) 332-3145
Laboratory LocationSocial Model Recovery Systems Bimini Recovery Center155 S. Bimini Place, Los Angeles, CA 90004
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
453 S INDIANA ST
LOS ANGELES, CA 90063
Counselor (Addiction (Substance Use Disorder))
453 S INDIANA ST
LOS ANGELES, CA 90063
Counselor (Addiction (Substance Use Disorder))
453 S INDIANA ST
LOS ANGELES, CA 90063
Counselor (Addiction (Substance Use Disorder))
453 S INDIANA ST
LOS ANGELES, CA 90063
Counselor (Addiction (Substance Use Disorder))
453 S INDIANA ST
LOS ANGELES, CA 90063
Counselor (Addiction (Substance Use Disorder))
453 S INDIANA ST
LOS ANGELES, CA 90063
Counselor (Addiction (Substance Use Disorder))
453 S INDIANA ST
LOS ANGELES, CA 90063
Counselor (Addiction (Substance Use Disorder))
453 S INDIANA ST
LOS ANGELES, CA 90063

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 Mariposa Recovery Home's NPI number?

The NPI number for Mariposa Recovery Home is 1124306386. It was assigned to this organization in the NPPES registry on July 21, 2011.

Where is Mariposa Recovery Home located?

Mariposa Recovery Home is located at 453 S Indiana St, Los Angeles, CA 90063. The listed phone number is (323) 266-7725.

What is Mariposa Recovery Home's specialty?

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

Does Mariposa Recovery Home hold CLIA laboratory certificates?

Yes. 9 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 Mariposa Recovery Home was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.