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PHOENIX HOUSE FOUNDATION
NPI 1639506520
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Lake View Terrace, CA

Active since October 09, 2013
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342(818) 686-3000(818) 896-4232 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Phoenix House Foundation NPPES

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

PHOENIX HOUSE FOUNDATION (NPI 1639506520) is a healthcare organization registered as a substance abuse treatment, children in Lake View Terrace, California and active in the NPI registry since October 2013. The organization lists Christhopher Anderson, Director, as its authorized official.

NPPES Registry Identity

NPI1639506520
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NamePHOENIX HOUSE FOUNDATION
Location Address11600 ELDRIDGE AVELake View Terrace, CA 91342-6506
Mailing Address11600 Eldridge AveLake View Terrace, CA 91342-6506 · (818) 686-3000 · Fax (818) 896-4232
Phone(818) 686-3000
Fax(818) 896-4232
Organization SubpartNo
Authorized OfficialChristhopher AndersonDirector · (818) 686-3105
Enumeration DateOctober 9, 2013
✔ NPI 1639506520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
11600 ELDRIDGE AVE, Lake View Terrace, CA 91342
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Other Providers at the Same Location NPPES 20

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

LEIGH ANN MARIE GREENFIELD MFTI
Counselor (Mental Health)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
MICHAEL ANDREW TRUJILLO CADCII
Counselor (Addiction (Substance Use Disorder))
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3177
MR. PEDRAM MOSHFEGH MA
Marriage & Family Therapist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (310) 913-3292
ORLI BEHBOUDIKHA
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
SYLMAR, CA 91342
Los Angeles County (818) 686-3000
JOCELYNE NAOMI DEL CID
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 868-3000
DAISY BARRERA
Social Worker (Clinical)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
RENAE BARASSI
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (888) 671-9392
WENDY XIOMARA HERNANDEZ ORELLANA
Peer Specialist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (661) 361-6130

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 Phoenix House Foundation's NPI number?

The NPI number for Phoenix House Foundation is 1639506520. It was assigned to this organization in the NPPES registry on October 9, 2013.

Where is Phoenix House Foundation located?

Phoenix House Foundation is located at 11600 Eldridge Ave, Lake View Terrace, CA 91342. The listed phone number is (818) 686-3000.

What is Phoenix House Foundation's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Phoenix House Foundation was last updated on October 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.