Organization Active NPI

Brickfire LLC

Doing business as The Forge Recovery Center

  • Community/Behavioral Health Agency
  • Santa Ana, CA
National Provider Identifier
1245814292
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRICKFIRE LLC
Doing business as
The Forge Recovery Center
Practice address
1560 Brookhollow Dr Ste 106
Santa Ana, CA 92705-5428
Phone
(949) 750-2720
Fax
(714) 699-9492
NPI assigned
May 6, 2021
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Aaron Bailey
Title
General Counsel
Phone
(714) 352-9138

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1560 Brookhollow Dr Ste 106
Santa Ana, CA 92705-5428

Mailing address

20500 Belshaw Ave. DPT Xla 1126
Carson, CA 90746-3506
Phone (949) 750-2720

Other practice location 1

1560 Brookhollow Dr Ste 104
Santa Ana, CA 92705-5428
Phone (949) 750-2720

Other names 1

  • The Forge Recovery Center Doing business as

National Provider Directory

National Provider Directory

Locations

20500 Belshaw Ave
#1126
Carson, CA 90746

2321 E 4th St
#C461
Santa Ana, CA 92705

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1245814292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20500 BELSHAW AVE. DPT XLA 1126",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463506",
            "telephone_number": "949-750-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BROOKHOLLOW DR STE 106",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055428",
            "telephone_number": "949-750-2720",
            "fax_number": "714-699-9492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Brookhollow Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055428",
            "country_code": "US",
            "telephone_number": "949-750-2720",
            "fax_number": "714-699-9492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRICKFIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "714-352-9138"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Forge Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.