SANCTUARY OF TRANSFORMATION LLC – NPI #1194233825
Substance Abuse Rehabilitation Facility

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.

SANCTUARY OF TRANSFORMATION LLC is a substance abuse rehabilitation facility located in MISSION VIEJO, CA. NPPES has assigned the NPI number 1194233825 to SANCTUARY OF TRANSFORMATION LLC on January 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 4 years ago on Jan 26, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANCTUARY OF TRANSFORMATION LLC below.

NPI Profile for
SANCTUARY OF TRANSFORMATION LLC

NPI Number
1194233825
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANCTUARY OF TRANSFORMATION LLC
Primary location
24381 SPARTAN ST
MISSION VIEJO, CA 92691
Phone: (949) 215-6602 Fax:
Mailing address
29911 NIGUEL RD
STE 7723
LAGUNA NIGUEL, CA 92607
Phone: (949) 439-3640 Fax:
Organization Subpart
No
Authorized Official
DON BAUTISTA
OWNER
Phone: (949) 439-3640
Updated
Certification Date
Jan 26, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SANCTUARY OF TRANSFORMATION LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDHCS CERTIFICATIONCA300008AP
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
CA 300008AP

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.