NPIMap

Organization Active NPI

Ocean Hills Recovery Inc.

  • Substance Abuse Rehabilitation Facility
  • Dana Point, CA
National Provider Identifier
1104380047
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
OCEAN HILLS RECOVERY INC.
Practice address
34469 Camino El Molino
Dana Point, CA 92624-1070
Phone
(949) 388-0112
Fax
(949) 388-4625
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Holly Wagner
Title
Vice President
Phone
(949) 388-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

34469 Camino El Molino
Dana Point, CA 92624-1070

Mailing address

27124 Paseo Espada Ste 805
San Juan Capistrano, CA 92675-6787
Phone (949) 388-0112

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2168639Ocean Hills Recovery, Inc34469 Camino El Molino, Capistrano Beach, CA 92624Certificate of waiverJul 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ocean Hills Recovery Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1104380047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27124 PASEO ESPADA STE 805",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756787",
            "telephone_number": "949-388-0112",
            "fax_number": "949-388-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34469 CAMINO EL MOLINO",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926241070",
            "telephone_number": "949-388-0112",
            "fax_number": "949-388-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN HILLS RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "949-388-0112"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.