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

LIFESYNC RECOVERY AND DETOXIFICATION, LLC
NPI 1730632159
Substance Abuse Rehabilitation Facility in Agoura Hills, CA

Active since August 02, 2016CLIA Certified · 3 labs
28632 ROADSIDE DR, SUITE 235, AGOURA HILLS, CA 91301(310) 951-6340 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifesync Recovery And Detoxification, Llc NPPES

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

LIFESYNC RECOVERY AND DETOXIFICATION, LLC (NPI 1730632159) is a healthcare organization registered as a substance abuse rehabilitation facility in Agoura Hills, California and active in the NPI registry since August 2016. The organization holds 3 active CLIA laboratory certificates and lists Geoffrey A Booth, Owner, as its authorized official.

NPPES Registry Identity

NPI1730632159
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIFESYNC RECOVERY AND DETOXIFICATION, LLC
Location Address28632 ROADSIDE DR, SUITE 235Agoura Hills, CA 91301-6064
Mailing Address6035 Murphy WayMalibu, CA 90265-4490 · (310) 951-6340
Phone(310) 951-6340
Organization SubpartNo
Authorized OfficialGeoffrey A BoothOwner · (310) 951-6340
Enumeration DateAugust 2, 2016
✔ NPI 1730632159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 190920AP
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.
28632 ROADSIDE DR, Agoura Hills, CA 91301
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 3

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 05D2129767

Lifesync Recovery And Detoxification · Malibu, CA
Active · expires Apr 24, 2027
CLIA Number05D2129767
Laboratory TypeDetox
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorDamon B. Raskin
Laboratory Phone(310) 457-0908
Laboratory LocationLifesync Recovery And Detoxification6035 Murphy Way, Malibu, CA 90265
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2342808

Lifesync Recovery And Detoxification LLC · Malibu, CA
Active · expires Apr 26, 2028
CLIA Number05D2342808
Laboratory TypeResidential Behavioral He
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorWilliam Y. Huang
Laboratory Phone(424) 235-2555
Laboratory LocationLifesync Recovery And Detoxification LLC6231 Murphy Way, Malibu, CA 90265
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2338906

Lifesync Recovery And Detoxification LLC · Malibu, CA
Active · expires Feb 18, 2028
CLIA Number05D2338906
Laboratory TypeResidential Behavioral He
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorHuang Y. William
Laboratory Phone(310) 589-2528
Laboratory LocationLifesync Recovery And Detoxification LLC5795 Calpine Dr, Malibu, CA 90265
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

KESSLER & RESNICK DENTAL DESIGN
Clinic/Center (Dental)
28632 ROADSIDE DR, STE 270B
AGOURA HILLS, CA 91301
Los Angeles County (818) 706-6077
DR. HABIBOLLAH MERZAD SADEGHI D.O.
Family Medicine
28632 ROADSIDE DR, SUITE 105
AGOURA HILLS, CA 91301
Los Angeles County (818) 452-4483
MR. JEREMY DOUGLAS TINOCO
Behavior Technician
28632 ROADSIDE DR
AGOURA HILLS, CA 91301
Los Angeles County (888) 561-0868

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 Lifesync Recovery And Detoxification, LLC's NPI number?

The NPI number for Lifesync Recovery And Detoxification, LLC is 1730632159. It was assigned to this organization in the NPPES registry on August 2, 2016.

Where is Lifesync Recovery And Detoxification, LLC located?

Lifesync Recovery And Detoxification, LLC is located at 28632 Roadside Dr Suite 235, Agoura Hills, CA 91301. The listed phone number is (310) 951-6340.

What is Lifesync Recovery And Detoxification, LLC's specialty?

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

Does Lifesync Recovery And Detoxification, LLC hold CLIA laboratory certificates?

Yes. 3 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 Lifesync Recovery And Detoxification, LLC was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.