NPIMap

Organization Active NPI

Wings Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Carlsbad, CA
National Provider Identifier
1174293435
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WINGS RECOVERY CENTER, INC.
Practice address
2386 Faraday Ave Ste 105
Carlsbad, CA 92008-7222
Phone
(619) 320-5150
NPI assigned
Sep 17, 2021
Organization subpart
Yes
Parent organization
WINGS RECOVERY CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Katy Hoslar
Title
Coo
Phone
(858) 220-9519

Specialties & licenses 1

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

Addresses

Primary practice location

2386 Faraday Ave Ste 105
Carlsbad, CA 92008-7222

Mailing address

785 Grand Ave Ste 101
Carlsbad, CA 92008-2370

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
05D2241874Wings Recovery Center, Inc2386 Faraday Ave Ste 105, Carlsbad, CA 92008Certificate of waiverNov 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wings Recovery Center10 organizations share this tax ID, including this one
Part of
Wings Recovery Center

Other organizations with this tax ID 9

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

Locations

2386 Faraday Ave
Ste 105
Carlsbad, CA 92008
Phone (619) 320-5150

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1174293435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 GRAND AVE STE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 FARADAY AVE STE 105",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087222",
            "telephone_number": "619-320-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS RECOVERY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINGS RECOVERY CENTER, INC.",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "HOSLAR",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "858-220-9519"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.