NPIMap

Organization Active NPI

Hope by the Sea

  • Substance Abuse Rehabilitation Facility
  • San Juan Capistrano, CA
National Provider Identifier
1194855320
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300149BP Issued in CA
Legal business name
HOPE BY THE SEA
Practice address
27412 Calle Arroyo
San Juan Capistrano, CA 92675-2747
Phone
(949) 218-2690
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Penny Carlsen
Title
Ceo
Phone
(949) 218-2690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300149BP CA Primary

Addresses

Primary practice location

27412 Calle Arroyo
San Juan Capistrano, CA 92675-2747

Mailing address

33171 Paseo Cerveza
San Juan Capistrano, CA 92675-4870
Phone (949) 218-2690

National Provider Directory

National Provider Directory
Tax ID family
Hope by the Sea7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

27412 Calle Arroyo
San Juan Capistrano, CA 92675
Phone (949) 218-2690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1194855320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33171 PASEO CERVEZA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754870",
            "telephone_number": "949-218-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27412 CALLE ARROYO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752747",
            "telephone_number": "949-218-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE BY THE SEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "CARLSEN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-218-2690"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300149BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.