NPIMap

Organization Active NPI

Crest Recovery LLC

Doing business as TruVida Recovery

  • Substance Abuse Rehabilitation Facility
  • Laguna Niguel, CA
National Provider Identifier
1235599879
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300351AP Issued in CA
Legal business name
CREST RECOVERY LLC
Doing business as
TruVida Recovery
Practice address
29522 Via Valverde
Laguna Niguel, CA 92677-1868
Phone
(949) 283-4679
NPI assigned
Feb 24, 2016
Last updated
Apr 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Ceaira Coffin
Title
Billing Director
Phone
(833) 233-0091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300351AP CA Primary

Addresses

Primary practice location

29522 Via Valverde
Laguna Niguel, CA 92677-1868

Mailing address

45 Timberland
Aliso Viejo, CA 92656-2108
Phone (949) 283-4679

Other identifiers 1

IdentifierTypeStateIssuer
300351APOtherCADHCS

Other names 1

  • TruVida Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crest Recovery LLC7 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.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1235599879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 TIMBERLAND",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562108",
            "telephone_number": "949-283-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29522 VIA VALVERDE",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771868",
            "telephone_number": "949-283-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "COFFIN",
        "authorized_official_first_name": "CEAIRA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "833-233-0091"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300351AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "300351AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruVida Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TruVida Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.