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ANNANDALE BEHAVIORAL HEALTH, LLC
NPI 1437797024
Substance Abuse Rehabilitation Facility in Pasadena, CA

Active since December 15, 2019CLIA 05D2305417 · Waiver
1280 AFTON ST, PASADENA, CA 91103(312) 092-2226 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2024, Dec 18, 2019, Dec 15, 2019 (3 updates tracked since 2019).

About Annandale Behavioral Health, Llc NPPES

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

ANNANDALE BEHAVIORAL HEALTH, LLC (NPI 1437797024) is a healthcare organization registered as a substance abuse rehabilitation facility in Pasadena, California and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through May 29, 2028 and lists Darryl Olivier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437797024
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameANNANDALE BEHAVIORAL HEALTH, LLC
Location Address1280 AFTON STPasadena, CA 91103-2303
Mailing Address1513 Portia StLos Angeles, CA 90026-2651 · (310) 922-2264
Phone(312) 092-2226
Organization SubpartNo
Authorized OfficialDarryl OlivierCeo · (310) 922-2264
Enumeration DateDecember 15, 2019
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1437797024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1280 AFTON ST, Pasadena, CA 91103
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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 05D2305417

Annandale Behavioral Health, LLC · Pasadena, CA
Active · expires May 29, 2028
CLIA Number05D2305417
Laboratory TypeResidential Substance Abu
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorAlan C. Coe
Laboratory Phone(310) 922-2264
Laboratory LocationAnnandale Behavioral Health, LLC1280 Afton St, Pasadena, CA 91103
CLIA data matches this NPI record on: Address Name Phone
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 Annandale Behavioral Health, LLC's NPI number?

The NPI number for Annandale Behavioral Health, LLC is 1437797024. It was assigned to this organization in the NPPES registry on December 15, 2019.

Where is Annandale Behavioral Health, LLC located?

Annandale Behavioral Health, LLC is located at 1280 Afton St, Pasadena, CA 91103. The listed phone number is (312) 092-2226.

What is Annandale Behavioral Health, LLC's specialty?

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

Does Annandale Behavioral Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2305417) is associated with this NPI, valid through May 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Annandale Behavioral Health, LLC was last updated on February 7, 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.