NPIMap

Organization Active NPI

Yellowstone Women's First Step House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1114763851
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
YELLOWSTONE WOMEN'S FIRST STEP HOUSE, INC.
Practice address
590 Traverse Dr
Costa Mesa, CA 92626-3117
Phone
(888) 418-4188
Fax
(949) 209-0369
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Casey Hunter
Title
Program Manager
Phone
(949) 678-3214

Specialties & licenses 1

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

Addresses

Primary practice location

590 Traverse Dr
Costa Mesa, CA 92626-3117

Mailing address

154 E Bay St
Costa Mesa, CA 92627-2147
Phone (888) 418-4188

National Provider Directory

National Provider Directory
Tax ID family
Yellowstone Women's First Step House Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1114763851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E BAY ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272147",
            "telephone_number": "888-418-4188",
            "fax_number": "949-209-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 TRAVERSE DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263117",
            "telephone_number": "888-418-4188",
            "fax_number": "949-209-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE WOMEN'S FIRST STEP HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "949-678-3214"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.