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ALTUS REHAB LLC
NPI 1881318624
Substance Abuse Rehabilitation Facility in Encino, CA

Active since September 26, 2022CLIA Certified · 2 labs
18084 RANCHO ST, ENCINO, CA 91316(323) 317-1717 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Jun 5, 2025, Jul 28, 2023 and 2 more (5 updates tracked since 2022).

About Altus Rehab Llc NPPES

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

ALTUS REHAB LLC (NPI 1881318624) is a healthcare organization registered as a substance abuse rehabilitation facility in Encino, California and active in the NPI registry since September 2022. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Encino, and lists Gunel N Ilyasova, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881318624
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameALTUS REHAB LLC
Location Address18084 RANCHO STEncino, CA 91316-4213
Mailing Address18084 Rancho StEncino, CA 91316-4213 · (323) 317-1717
Phone(323) 317-1717
Organization SubpartNo
Authorized OfficialGunel N IlyasovaCeo · (323) 317-1717
Enumeration DateSeptember 26, 2022
Last NPPES UpdateJune 9, 20255 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1881318624 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.
18084 RANCHO ST, Encino, CA 91316
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Secondary Practice Location 1

Location 116820 Adlon RdEncino, CA 91436-3811 · Phone (323) 317-1717

CLIA Laboratory Certificates CMS CLIA 2

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 05D2315983

Altus Rehab LLC · Encino, CA
Active · expires Dec 22, 2026
CLIA Number05D2315983
Laboratory TypeSubstance Use Treatment
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorJason Giles
Laboratory Phone(323) 317-1717
Laboratory LocationAltus Rehab LLC16820 Adlon Rd, Encino, CA 91436
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2281675

Altus Rehab, LLC · Encino, CA
Active · expires May 9, 2027
CLIA Number05D2281675
Laboratory TypeSubst Abuse Trmt
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorJason Giles
Laboratory Phone(805) 907-9068
Laboratory LocationAltus Rehab, LLC18084 Rancho St, Encino, CA 91316
CLIA data matches this NPI record on: Address 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 Altus Rehab LLC's NPI number?

The NPI number for Altus Rehab LLC is 1881318624. It was assigned to this organization in the NPPES registry on September 26, 2022.

Where is Altus Rehab LLC located?

Altus Rehab LLC is located at 18084 Rancho St, Encino, CA 91316. The listed phone number is (323) 317-1717.

What is Altus Rehab LLC's specialty?

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

Does Altus Rehab LLC hold CLIA laboratory certificates?

Yes. 2 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 Altus Rehab LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.