IRIS HEALING CENTER LLC
NPI 1144734922
Substance Abuse Rehabilitation Facility in Woodland Hills, CA

Active since November 30, 2017CLIA 05D2159909 · Waiver
20300 VENTURA BLVD STE 300, WOODLAND HILLS, CA 91364(323) 449-0016(323) 449-0016 Get Directions Write a Review

NPPES record last updated: July 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Iris Healing Center Llc NPPES

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

IRIS HEALING CENTER LLC (NPI 1144734922) is a healthcare organization registered as a substance abuse rehabilitation facility in Woodland Hills, California and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Elena Kapustina, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144734922
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameIRIS HEALING CENTER LLC
Location Address20300 VENTURA BLVD STE 300Woodland Hills, CA 91364-0901
Mailing Address20300 Ventura Blvd Ste 300Woodland Hills, CA 91364-0901 · (323) 449-0016 · Fax (818) 301-1940
Fax(323) 449-0016
Organization SubpartNo
Authorized OfficialElena KapustinaCeo · (323) 449-0016
Enumeration DateNovember 30, 2017
Last NPPES UpdateJuly 2, 2022
NPPES CertifiedJuly 2, 2022
NPI 1144734922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
20300 VENTURA BLVD STE 300, Woodland Hills, CA 91364

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 05D2159909

Iris Healing Center · Woodland Hills, CA
Active · expires Dec 30, 2026
CLIA Number05D2159909
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorNeda Javaherian
Laboratory Phone(818) 564-4307
Laboratory LocationIris Healing Center20300 Ventura Blvd Suite 300, Woodland Hills, CA 91364
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Psychologist
20300 VENTURA BLVD STE 300
WOODLAND HILLS, CA 91364

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 Iris Healing Center LLC's NPI number?

The NPI number for Iris Healing Center LLC is 1144734922. It was assigned to this organization in the NPPES registry on November 30, 2017.

Where is Iris Healing Center LLC located?

Iris Healing Center LLC is located at 20300 Ventura Blvd Ste 300, Woodland Hills, CA 91364. The listed phone number is (323) 449-0016.

What is Iris Healing Center LLC's specialty?

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

Does Iris Healing Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2159909) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Iris Healing Center LLC was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.