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SPARK TO RECOVERY INC
NPI 1144867060
Substance Abuse Rehabilitation Facility in Sherman Oaks, CA

Active since December 10, 2019CLIA 05D2233458 · Waiver
5449 WOODMAN AVE, SHERMAN OAKS, CA 91401(818) 818-0202 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Dec 12, 2024, Nov 11, 2022 and 3 more (6 updates tracked since 2019).

About Spark To Recovery Inc NPPES

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

SPARK TO RECOVERY INC (NPI 1144867060), doing business as Concise Detox Center, is a healthcare organization registered as a substance abuse rehabilitation facility in Sherman Oaks, California and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Hala Aziz, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1144867060
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSPARK TO RECOVERY INC
Location Address5449 WOODMAN AVESherman Oaks, CA 91401-5832
Mailing Address5449 Woodman AveSherman Oaks, CA 91401-5832
Phone(818) 818-0202
Organization SubpartNo
Authorized OfficialHala AzizAuthorized Official · (949) 701-9271
Enumeration DateDecember 10, 2019
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1144867060 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.
5449 WOODMAN AVE, Sherman Oaks, CA 91401
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Other Names 1

Doing Business AsConcise Detox Center

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 05D2233458

Spark To Recovery Inc · Sherman Oaks, CA
Active · expires Dec 1, 2027
CLIA Number05D2233458
Laboratory TypeAddiction Treatment Ctr
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorCourtney S. Scott
Laboratory Phone(818) 849-5467
Laboratory LocationSpark To Recovery Inc5449 Woodman Ave, Sherman Oaks, CA 91401
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 Spark To Recovery Inc's NPI number?

The NPI number for Spark To Recovery Inc is 1144867060. It was assigned to this organization in the NPPES registry on December 10, 2019. The provider is doing business as Concise Detox Center.

Where is Spark To Recovery Inc located?

Spark To Recovery Inc is located at 5449 Woodman Ave, Sherman Oaks, CA 91401. The listed phone number is (818) 818-0202.

What is Spark To Recovery Inc's specialty?

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

Does Spark To Recovery Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2233458) is associated with this NPI, valid through December 1, 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 Spark To Recovery Inc was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.