Moonstone Recovery Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MOONSTONE RECOVERY INC.

Practice address

845 Hennessey Way
Plumas Lake, CA 95961-9224

Phone

(619) 456-7337

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Ryan FailleNPI 1659722486

Title

President

Phone

(619) 456-7337

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Ryan Faille, MSW, ASW

  • Social Worker
  • Plumas Lake, CA
  • NPI 1659722486
  NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1225897317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 HENNESSEY WAY",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959619224",
            "telephone_number": "619-456-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 HENNESSEY WAY",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959619224",
            "telephone_number": "619-456-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "FAILLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-456-7337",
        "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": []
}

• Alyssa Marquez
• Tara McIntyre, PHARMD
• Noah Alexander Mendoza
• Kyle Miller
• Rashaad N Mirza
• Kamari Moppin
• Esther Muiruri
• Brianna Mula
• Sujatha Narayana
• Eric Nganga

• Substance Abuse Rehabilitation Facility in Plumas Lake, CA
• Providers in Plumas Lake, 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 Mar 19, 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.