Active NPI
Turrill Transitional Assistance Program, Inc.
- Substance Abuse Rehabilitation Facility
- San Bernardino, CA
National Provider Identifier
1174861645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 360090AN
- Legal business name
- TURRILL TRANSITIONAL ASSISTANCE PROGRAM, INC.
- Practice address
- 5789 Merito Ave
San Bernardino, CA 92404-7215 - Phone
- (909) 886-6678
- Fax
- (909) 886-6678
- NPI assigned
- Jan 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Wayne Kanavos
- Title
- Executive Director
- Phone
- (951) 965-4708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 360090AN | CA | Primary |
Addresses
Primary practice location
5789 Merito Ave
San Bernardino, CA 92404-7215
Mailing address
2130 N Arrowhead Ave
Suite 206H
San Bernardino, CA 92405-4029
Phone (909) 475-8600
Other names 1
- Next Step Recovery Services
National Provider Directory
National Provider DirectoryLocations
2130 N Arrowhead Ave
Ste 206H
San Bernardino, CA 92405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358380800000",
"number": "1174861645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 N ARROWHEAD AVE",
"address_2": "SUITE 206H",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924054029",
"telephone_number": "909-475-8600",
"fax_number": "909-475-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5789 MERITO AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924047215",
"telephone_number": "909-886-6678",
"fax_number": "909-886-6678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TURRILL TRANSITIONAL ASSISTANCE PROGRAM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-17",
"last_updated": "2013-01-17",
"status": "A",
"authorized_official_last_name": "KANAVOS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "951-965-4708",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "360090AN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Next Step Recovery Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.