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

GOLDEN ROAD RECOVERY LLC
NPI 1952964272
Substance Abuse Rehabilitation Facility in Chatsworth, CA

Active since April 22, 2019CLIA 05D2169101 · Waiver
22560 LASSEN ST, CHATSWORTH, CA 91311(747) 201-1169 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2023, Apr 22, 2019 (2 updates tracked since 2019).

About Golden Road Recovery Llc NPPES

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

GOLDEN ROAD RECOVERY LLC (NPI 1952964272) is a healthcare organization registered as a substance abuse rehabilitation facility in Chatsworth, California and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through July 15, 2027, maintains a secondary practice location in Chatsworth, and lists Abraham Ter-petrosyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952964272
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGOLDEN ROAD RECOVERY LLC
Location Address22560 LASSEN STChatsworth, CA 91311-2649
Mailing Address22560 Lassen StChatsworth, CA 91311-2649 · (747) 201-1169
Phone(747) 201-1169
Organization SubpartNo
Authorized OfficialAbraham Ter-petrosyanCeo · (747) 201-1169
Enumeration DateApril 22, 2019
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1952964272 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.
22560 LASSEN ST, Chatsworth, CA 91311
Open in Google Maps ↗

Secondary Practice Location 1

Location 19551 Baden AveChatsworth, CA 91311-2620 · Phone (747) 201-1169

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 05D2169101

Golden Road Recovery · Chatsworth, CA
Active · expires Jul 15, 2027
CLIA Number05D2169101
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorLucille Thomas
Laboratory Phone(818) 426-3245
Laboratory LocationGolden Road Recovery22560 Lassen St, Chatsworth, CA 91311
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 Golden Road Recovery LLC's NPI number?

The NPI number for Golden Road Recovery LLC is 1952964272. It was assigned to this organization in the NPPES registry on April 22, 2019.

Where is Golden Road Recovery LLC located?

Golden Road Recovery LLC is located at 22560 Lassen St, Chatsworth, CA 91311. The listed phone number is (747) 201-1169.

What is Golden Road Recovery LLC's specialty?

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

Does Golden Road Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2169101) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Golden Road Recovery LLC was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.