417 RECOVERY – NPI #1649047242
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
417 RECOVERY is a substance abuse rehabilitation facility located in MISSION VIEJO, CA. NPPES has assigned the NPI number 1649047242 to 417 RECOVERY on December 05, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “417 RECOVERY” is a dba name, the actual legal business name for this organization is 417 ORANGE COUNTY LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children
The NPI profile was previously updated about 2 years ago on Dec 06, 2023. 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 417 RECOVERY below.
NPI Profile for
417 ORANGE COUNTY LLC
(more than 2 years ago)
MISSION VIEJO, CA 92691-2768 Phone: (760) 485-6563 Fax:
SAN MARCOS, CA 92078-2450 Phone: (760) 485-6563 Fax:
CFO
Phone: (760) 485-6563
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.
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 |
|---|---|---|
| 3245S0500X - Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary) |
||
| 261QM0855X - Clinic/Center / Adolescent and Children Mental Health |
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| 251S00000X - Community/Behavioral Health |
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.