RENEWAL HEALTH GROUP
NPI 1972169605
Substance Abuse Rehabilitation Facility in Tarzana, CA

Q: What is Executive Recovery Group, Inc's NPI number?

The NPI number for Executive Recovery Group, Inc is 1972169605. It was assigned to this organization in the NPPES registry on May 17, 2019. The provider is doing business as Renewal Health Group and Sanctuary Amgio.

Q: What is Executive Recovery Group, Inc's specialty?

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

Active since May 17, 2019

4755 AMIGO AVE, TARZANA, CA 91356(760) 409-1287 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2022, May 17, 2019 (2 updates tracked since 2019).

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About Renewal Health Group NPPES

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

RENEWAL HEALTH GROUP (NPI 1972169605) is a healthcare organization registered as a substance abuse rehabilitation facility in Tarzana, California and active in the NPI registry since May 2019. The organization lists Amy Crichton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972169605

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameEXECUTIVE RECOVERY GROUP, INC

Location Address4755 AMIGO AVETarzana, CA 91356-4501

Mailing Address203 S Orange DrLos Angeles, CA 90036-3010 · (760) 409-1287

Phone(760) 409-1287

Organization SubpartYes

Authorized OfficialAmy CrichtonExecutive Director · (760) 200-3839

Enumeration DateMay 17, 2019

Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1972169605 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 ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

4755 AMIGO AVE, Tarzana, CA 91356

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Other Names 2

Doing Business AsRenewal Health Group

Doing Business AsSanctuary Amgio

Other Identifiers 1

Other190042BPCA · Department Of Health Care Services

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 Executive Recovery Group, Inc's NPI number?

The NPI number for Executive Recovery Group, Inc is 1972169605. It was assigned to this organization in the NPPES registry on May 17, 2019. The provider is doing business as Renewal Health Group and Sanctuary Amgio.

Where is Executive Recovery Group, Inc located?

Executive Recovery Group, Inc is located at 4755 Amigo Ave, Tarzana, CA 91356. The listed phone number is (760) 409-1287.

What is Executive Recovery Group, Inc'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 Executive Recovery Group, Inc was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.