Provider Demographics
NPI:1437844339
Name:U MATTER LUXURY RESORT LLC
Entity Type:Organization
Organization Name:U MATTER LUXURY RESORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUCHAVCHILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-748-1919
Mailing Address - Street 1:17337 VENTURA BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-4902
Mailing Address - Country:US
Mailing Address - Phone:310-748-1919
Mailing Address - Fax:
Practice Address - Street 1:3013 FRANCES AVE
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-1969
Practice Address - Country:US
Practice Address - Phone:310-748-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility