Organization Active NPI

California Addiction Treatment Center LLC

Doing business as California Highlands Addiction Treatment

  • Substance Abuse Rehabilitation Facility
  • Banning, CA
National Provider Identifier
1134510290
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CALIFORNIA ADDICTION TREATMENT CENTER LLC
Doing business as
California Highlands Addiction Treatment
Practice address
15986 Highland Springs Avenue
Banning, CA 92220-6508
Phone
(951) 972-2023
NPI assigned
Feb 11, 2015
Last updated
Oct 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Michael Borkowski
Title
Authorized Official
Phone
(954) 487-1224

Specialties & licenses 1

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

Addresses

Primary practice location

15986 Highland Springs Avenue
Banning, CA 92220-6508

Mailing address

300 S Highland Springs Ave
Suite 6C #185
Banning, CA 92220-6504

Other names 1

  • California Highlands Addiction Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California Addiction Treatment Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

300 S Highland Springs Ave
Ste 6C
Banning, CA 92220
Phone (760) 994-7522

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1134510290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HIGHLAND SPRINGS AVE",
            "address_2": "SUITE 6C #185",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15986 HIGHLAND SPRINGS AVENUE",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206508",
            "telephone_number": "951-972-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA ADDICTION TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "BORKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-487-1224"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Highlands Addiction Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Highlands Addiction Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.