NPIMap

Organization Active NPI

Wings Recovery Center, Inc.

  • Psychiatric Residential Treatment Facility
  • La Mesa, CA
National Provider Identifier
1194533570
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
WINGS RECOVERY CENTER, INC.
Practice address
5422 Wellesley St W
La Mesa, CA 91942-1772
Phone
(615) 630-2065
NPI assigned
Dec 18, 2024
Organization subpart
Yes
Parent organization
WINGS RECOVERY CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

5422 Wellesley St W
La Mesa, CA 91942-1772

Mailing address

785 Grand Ave Ste 101
Carlsbad, CA 92008-2370

Other names 1

  • Wings Recovery Center @ Brightquest San Diego Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1194533570",
    "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": "5422 WELLESLEY ST W",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421772",
            "telephone_number": "615-630-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS RECOVERY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINGS RECOVERY CENTER, INC.",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "HOSLAR",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-220-9519"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings Recovery Center @ Brightquest San Diego",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.