Organization Active NPI

Recovery Services Management LLC

  • Substance Abuse Rehabilitation Facility
  • Laguna Hills, CA
National Provider Identifier
1245701978
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Jun 12, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300092APOtherCACALIFORNIA STATE LICENSE

Other names 1

  • Mission Recovery Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.