1. Home
  2. Directory
  3. California
  4. Van Nuys
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

EAGLE RECOVERY
NPI 1306420385
Substance Abuse Rehabilitation Facility in Van Nuys, CA

Active since May 06, 2021
6701 CANTALOUPE AVE, VAN NUYS, CA 91405(818) 616-9408 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eagle Recovery NPPES

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

EAGLE RECOVERY (NPI 1306420385) is a healthcare organization registered as a substance abuse rehabilitation facility in Van Nuys, California and active in the NPI registry since May 2021. The organization lists Harutyun Shirikchyan, Owner, as its authorized official.

NPPES Registry Identity

NPI1306420385
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEAGLE RECOVERY
Location Address6701 CANTALOUPE AVEVan Nuys, CA 91405-4806
Mailing Address6701 Cantaloupe AveVan Nuys, CA 91405-4806 · (818) 616-9408
Phone(818) 616-9408
Organization SubpartNo
Authorized OfficialHarutyun ShirikchyanOwner · (818) 616-9408
Enumeration DateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1306420385 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.
6701 CANTALOUPE AVE, Van Nuys, CA 91405
Open in Google Maps ↗

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 05D2265318

Eagle Recovery · Van Nuys, CA
Expired · Jul 25, 2026
CLIA Number05D2265318
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorDagmar I. Liepa
Laboratory Phone(818) 276-5436
Laboratory LocationEagle Recovery6701 Cantaloupe Ave, Van Nuys, CA 91405
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 Eagle Recovery's NPI number?

The NPI number for Eagle Recovery is 1306420385. It was assigned to this organization in the NPPES registry on May 6, 2021.

Where is Eagle Recovery located?

Eagle Recovery is located at 6701 Cantaloupe Ave, Van Nuys, CA 91405. The listed phone number is (818) 616-9408.

What is Eagle Recovery's specialty?

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

When was this NPI record last updated?

The NPPES record for Eagle Recovery was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.