Buckeye Recovery Network, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BUCKEYE RECOVERY NETWORK, LLC

Practice address

19322 Beach Blvd
Huntington Beach, CA 92648-6542

Phone

(949) 515-9191

NPI assigned

Nov 22, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Stump

Title

Coo

Phone

(202) 441-3570

Specialties & licenses 1

Addresses

Other names 1

• Buckeye Recovery Network Doing business as

Tax ID family

Buckeye Recovery Network2 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.

• Buckeye Recovery Network, LLC

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
  • NPI 1811268113
  NPD tax ID

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1194239426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19322 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486542",
            "telephone_number": "949-515-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19322 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486542",
            "telephone_number": "949-515-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE RECOVERY NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "202-441-3570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Recovery Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce D Appelbaum MD Inc
• Yanik Bryan
• Lindsey Bryson
• Ksenia Bubukina
• Tyler Buchholz
• Buckeye Recovery Network, LLC
• Kayli Denae Buckingham
• Alli Budd-Vizcaino
• Arun Budhraja, MD
• Chona Bueza

• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, 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 Nov 22, 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.