Active NPI
Recovery Services Management LLC
- Substance Abuse Rehabilitation Facility
- Laguna Hills, CA
National Provider Identifier
1245701978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RECOVERY SERVICES MANAGEMENT LLC
- Practice address
- 25352 Hillary LN
Laguna Hills, CA 92653-5217 - Phone
- (954) 654-9072
- Fax
- (954) 251-3718
- NPI assigned
- Dec 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Khor
- Title
- Coo
- Phone
- (949) 232-8462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
25352 Hillary LN
Laguna Hills, CA 92653-5217
Mailing address
1201 Puerta del Sol Ste 222
San Clemente, CA 92673-6310
Phone (949) 232-8462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300092AP | Other | CA | CALIFORNIA STATE LICENSE |
Other names 1
- Mission Recovery
National Provider Directory
National Provider DirectoryLocations
1201 Puerta del Sol
Ste 222
San Clemente, CA 92673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1245701978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 PUERTA DEL SOL STE 222",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736310",
"telephone_number": "949-232-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25352 HILLARY LN",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535217",
"telephone_number": "954-654-9072",
"fax_number": "954-251-3718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY SERVICES MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-06",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "KHOR",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "949-232-8462"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LICENSE",
"identifier": "300092AP",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Recovery",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Mission Recovery",
"code": "5",
"type": "Other Name"
}
]
}
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 Jun 12, 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.