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REFINE RECOVERY
NPI 1245811025
Substance Abuse Rehabilitation Facility in Beverly Hills, CA

Active since April 14, 2021CLIA Certified · 4 labs
1634 BENEDICT CANYON DR, BEVERLY HILLS, CA 90210(484) 387-7776(310) 861-8830 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2023, Oct 13, 2023, Apr 14, 2021 (3 updates tracked since 2021).

About Refine Recovery NPPES

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

REFINE RECOVERY (NPI 1245811025) is a healthcare organization registered as a substance abuse rehabilitation facility in Beverly Hills, California and active in the NPI registry since April 2021. The organization holds 4 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Peter Cory Raskovic, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245811025
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameVIVID RECOVERY, LLC
Location Address1634 BENEDICT CANYON DRBeverly Hills, CA 90210-2003
Mailing Address1634 Benedict Canyon DrBeverly Hills, CA 90210-2003 · (484) 387-7776 · Fax (310) 861-8830
Phone(484) 387-7776
Fax(310) 861-8830
Organization SubpartNo
Authorized OfficialPeter Cory RaskovicCeo · (484) 387-7776
Enumeration DateApril 14, 2021
Last NPPES UpdateMay 22, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1245811025 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.
1634 BENEDICT CANYON DR, Beverly Hills, CA 90210
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Other Names 1

Doing Business AsRefine Recovery

Secondary Practice Locations 4

Location 11628 Benedict Canyon DrBeverly Hills, CA 90210-2003 · Phone (484) 387-7776 · Fax (310) 861-8830
Location 212915 Addison StSherman Oaks, CA 91423-2248 · Phone (484) 387-7776 · Fax (310) 861-8830
Location 312917 Addison StSherman Oaks, CA 91423-2248 · Phone (484) 387-7776 · Fax (310) 861-8830
Location 412919 Addison StSherman Oaks, CA 91423 · Phone (484) 387-7776 · Fax (310) 861-8830

CLIA Laboratory Certificates CMS CLIA 4

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 05D2260333

Refine Recovery · Beverly Hills, CA
Active · expires May 16, 2028
CLIA Number05D2260333
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorAbraham Malkin
Laboratory Phone(484) 387-7776
Laboratory LocationRefine Recovery1628 Benedict Canyon Dr, Beverly Hills, CA 90210
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 05D2319579

Refine Recovery · Sherman Oaks, CA
Active · expires Mar 3, 2027
CLIA Number05D2319579
Laboratory TypeDrug & Alcohol Treatment
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorCharles Carpenter
Laboratory Phone(866) 994-4788
Laboratory LocationRefine Recovery12917 Addison St, Sherman Oaks, CA 91423
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2319580

Refine Recovery · Sherman Oaks, CA
Active · expires Mar 3, 2027
CLIA Number05D2319580
Laboratory TypeDrug & Alcohol Treatment
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorAbraham Malkin
Laboratory Phone(866) 994-4788
Laboratory LocationRefine Recovery12919 Addison St, Sherman Oaks, CA 91423
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2319548

Refine Recovery · Sherman Oaks, CA
Active · expires Mar 2, 2027
CLIA Number05D2319548
Laboratory TypeDrug & Alcohol Treatment
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorAbraham Malkin
Laboratory Phone(866) 994-4788
Laboratory LocationRefine Recovery12915 Addison St, Sherman Oaks, CA 91423
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.

DR. MARISA ANN SISK PSY.D.
Psychologist
1634 BENEDICT CANYON DR
BEVERLY HILLS, CA 90210
Los Angeles County (608) 332-4297

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 Vivid Recovery, LLC's NPI number?

The NPI number for Vivid Recovery, LLC is 1245811025. It was assigned to this organization in the NPPES registry on April 14, 2021. The provider is doing business as Refine Recovery.

Where is Vivid Recovery, LLC located?

Vivid Recovery, LLC is located at 1634 Benedict Canyon Dr, Beverly Hills, CA 90210. The listed phone number is (484) 387-7776.

What is Vivid Recovery, LLC's specialty?

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

Does Vivid Recovery, LLC hold CLIA laboratory certificates?

Yes. 4 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 Vivid Recovery, LLC was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.