ADDICTION RECOVERY REHAB – NPI #1508240268
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.

ADDICTION RECOVERY REHAB is a substance abuse rehabilitation facility located in VILLA PARK, CA. NPPES has assigned the NPI number 1508240268 to ADDICTION RECOVERY REHAB on July 13, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADDICTION RECOVERY REHAB” is a dba name, the actual legal business name for this organization is RECOVERY BAY REHABILITATION CENTER, LLC. 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.

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 ADDICTION RECOVERY REHAB below.

NPI Profile for
RECOVERY BAY REHABILITATION CENTER, LLC

NPI Number
1508240268
Enumeration Date

(about 11 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
RECOVERY BAY REHABILITATION CENTER, LLC
Doing Business As (dba): ADDICTION RECOVERY REHAB
Primary location
18912 PATRICIAN DR
VILLA PARK, CA 92861-4214
Phone: (949) 887-6379 Fax:
Mailing address
8 CHESHIRE CT
NEWPORT BEACH, CA 92660-4210
Phone: (949) 289-0350 Fax:
Organization Subpart
No
Authorized Official
IZZY HIRSON
CEO/EXECUTIVE DIRECTOR
Phone: (949) 887-6379
Updated
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 300300AP

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.