Provider Demographics
NPI:1144743592
Name:UNA VIDA ESTA VIDA
Entity Type:Organization
Organization Name:UNA VIDA ESTA VIDA
Other - Org Name:THE SPENCER HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:REINDL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-403-1615
Mailing Address - Street 1:8276 DENVER ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-2053
Mailing Address - Country:US
Mailing Address - Phone:805-403-1615
Mailing Address - Fax:
Practice Address - Street 1:8276 DENVER ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93004-2053
Practice Address - Country:US
Practice Address - Phone:805-403-1615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0400X, 261QR0405X, 273Y00000X, 276400000X
CA324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No273Y00000XHospital UnitsRehabilitation Unit
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit