Bay Horse Ranch

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BAY HORSE RANCH

Practice address

29008 Orange Blossom CT
Lake Elsinore, CA 92530-1758

Phone

(949) 887-1612

Fax

(714) 842-7774

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Carole Anne Harris, LCSW, PSYD

Title

Manager

Phone

(949) 887-1612

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1093268880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28475 MOUNTAIN ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925301714",
            "telephone_number": "949-887-1612",
            "fax_number": "714-842-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29008 ORANGE BLOSSOM CT",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925301758",
            "telephone_number": "949-887-1612",
            "fax_number": "714-842-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY HORSE RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-887-1612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PSYD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron Martin Barth, L.AC.
• Trevon Bass
• Stephanie Bauerlein, ASW
• James T Baugh, DDS
• Francisco Javier Bautista
• Oscar Becerra, LCSW
• Brianna Jewel Bell
• Beloved Ones 11
• Evelyn Ramirez Beltran
• Leonard Beneli, D.D.S.

• Substance Abuse Rehabilitation Facility in Lake Elsinore, CA
• Providers in Lake Elsinore, 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 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.