Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PROVIDENCE DETOX
NPI 1699690560
Substance Abuse Rehabilitation Facility in Winnetka, CA

Q: What is Providence Detox's NPI number?

The NPI number for Providence Detox is 1699690560. It was assigned to this organization in the NPPES registry on August 11, 2026.

Q: What is Providence Detox's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Providence Detox was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since August 11, 2026

20454 HEMMINGWAY ST, WINNETKA, CA 91306(818) 940-0308(310) 758-0982 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Providence Detox NPPES

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

PROVIDENCE DETOX (NPI 1699690560) is a healthcare organization registered as a substance abuse rehabilitation facility in Winnetka, California and active in the NPI registry since August 2026. The organization lists Mher Danielyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699690560

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePROVIDENCE DETOX

Location Address20454 HEMMINGWAY STWinnetka, CA 91306-2249

Mailing Address20454 Hemmingway StWinnetka, CA 91306-2249 · (818) 940-0308 · Fax (310) 758-0982

Phone(818) 940-0308

Fax(310) 758-0982

Organization SubpartNo

Authorized OfficialMher DanielyanCeo · (818) 940-0308

Enumeration DateAugust 11, 2026

NPPES CertifiedAugust 11, 2026

✔ NPI 1699690560 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.

20454 HEMMINGWAY ST, Winnetka, CA 91306

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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 Providence Detox's NPI number?

The NPI number for Providence Detox is 1699690560. It was assigned to this organization in the NPPES registry on August 11, 2026.

Where is Providence Detox located?

Providence Detox is located at 20454 Hemmingway St, Winnetka, CA 91306. The listed phone number is (818) 940-0308.

What is Providence Detox'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 Providence Detox was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.