Organization Active NPI

Turrill Transitional Assistance Program, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Bernardino, CA
National Provider Identifier
1174861645
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
360090AN Issued in CA
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

Updated by the provider on Jan 17, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.