Able to Change Recovery, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300118AP Issued in CA

Legal business name

ABLE TO CHANGE RECOVERY, INC.

Practice address

31501 Rancho Viejo Rd
#101
San Juan Capistrano, CA 92675-1869

Phone

(949) 493-6800

Fax

(949) 493-6832

NPI assigned

Feb 15, 2007

Last updated

Jul 26, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel O Pastor

Title

Billing

Phone

(949) 493-6800

Specialties & licenses 3

Addresses

Other identifiers 6

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Able to Change Recovery Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Able to Change Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lake Forest, CA
  • NPI 1790074250
  NPD tax ID
• Able to Change Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Irvine, CA
  • NPI 1831082635
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1083757041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31501 RANCHO VIEJO RD",
            "address_2": "#101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751869",
            "telephone_number": "949-493-6800",
            "fax_number": "949-493-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31501 RANCHO VIEJO RD",
            "address_2": "#101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751869",
            "telephone_number": "949-493-6800",
            "fax_number": "949-493-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE TO CHANGE RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "PASTOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "949-493-6800"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300118BP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300118CP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300118AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MED ID",
            "identifier": "005494",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MED ID",
            "identifier": "005693",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MED ID",
            "identifier": "005692",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPT ALCOHOL DRUG PROGRAMS",
            "identifier": "300118BP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPT ALCOHOL DRUG PROGRAMS",
            "identifier": "300118AP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPT ALCOHOL DRUG PROGRAMS",
            "identifier": "300118CP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.