Alexandra Rose Corporation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300245AP Issued in CA

Legal business name

ALEXANDRA ROSE CORPORATION

Doing business as

South Orange County Detox and Treatment

Practice address

4009 Calle Abril
San Clemente, CA 92673

Phone

(949) 584-5927

Fax

(949) 481-4949

NPI assigned

Jul 10, 2012

Last updated

Mar 21, 2017By 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

Salina Ann Shuler

Title

President / Ceo

Phone

(714) 785-2512

Specialties & licenses 1

Addresses

Other names 1

• South Orange County Detox and Treatment Doing business as

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1124383781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 CALLE ABRIL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-584-5927",
            "fax_number": "360-323-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 CALLE ABRIL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-584-5927",
            "fax_number": "949-481-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA ROSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "SALINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "714-785-2512"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300245AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Orange County Detox and Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in San Clemente, CA
• Providers in San Clemente, 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 Mar 21, 2017; 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.