Organization Active NPI

Corral Management, LLC

  • Substance Abuse Rehabilitation Facility
  • Laguna Hills, CA
National Provider Identifier
1215488002
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CORRAL MANAGEMENT, LLC
Practice address
26041 Red Corral Rd
Laguna Hills, CA 92653-6310
Phone
(949) 929-1177
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Ms. Kim Simmons, MA, CADCCS, CAT IV
Title
Program Director
Phone
(949) 929-1177

Specialties & licenses 1

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

Addresses

Primary practice location

26041 Red Corral Rd
Laguna Hills, CA 92653-6310

Mailing address

26041 Red Corral Rd
Laguna Hills, CA 92653-6310
Phone (949) 929-1177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1215488002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26041 RED CORRAL RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926536310",
            "telephone_number": "949-929-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26041 RED CORRAL RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926536310",
            "telephone_number": "949-929-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "949-929-1177",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CADCCS, CAT IV"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.