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SKYLINE RECOVERY CENTER
NPI 1760180699
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since February 20, 2023CLIA 05D2307524 · Waiver
1517 S SEPULVEDA BLVD, LOS ANGELES, CA 90025(626) 319-6296 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Apr 18, 2024, Feb 28, 2023 and 1 more (4 updates tracked since 2023).

About Skyline Recovery Center NPPES

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

SKYLINE RECOVERY CENTER (NPI 1760180699) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Zeena Foteh, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760180699
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSKYLINE RECOVERY CENTER
Location Address1517 S SEPULVEDA BLVDLos Angeles, CA 90025-3311
Mailing Address1517 S Sepulveda BlvdLos Angeles, CA 90025-3311 · (626) 319-6296
Phone(626) 319-6296
Organization SubpartNo
Authorized OfficialZeena FotehAdministrator · (310) 686-9689
Enumeration DateFebruary 20, 2023
Last NPPES UpdateJune 13, 20244 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1760180699 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 ListedPoint of ServiceTaxonomy 305S00000X
1517 S SEPULVEDA BLVD, Los Angeles, CA 90025
Open in Google Maps ↗

Other Identifiers 1

OtherINSURERSInsurers

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 05D2307524

Skyline Recovery Center · Los Angeles, CA
Active · expires Jul 9, 2028
CLIA Number05D2307524
Laboratory TypeIndependent
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorRyan Peterson
Laboratory Phone(323) 599-3163
Laboratory LocationSkyline Recovery Center1517 Sepulveda Blvd, Los Angeles, CA 90025
CLIA data matches this NPI record on: 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 Skyline Recovery Center's NPI number?

The NPI number for Skyline Recovery Center is 1760180699. It was assigned to this organization in the NPPES registry on February 20, 2023.

Where is Skyline Recovery Center located?

Skyline Recovery Center is located at 1517 S Sepulveda Blvd, Los Angeles, CA 90025. The listed phone number is (626) 319-6296.

What is Skyline Recovery Center's specialty?

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

Does Skyline Recovery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2307524) is associated with this NPI, valid through July 9, 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 Skyline Recovery Center was last updated on June 13, 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.