Organization Active NPI

It'S Time to Recover, Inc.

  • Substance Abuse Rehabilitation Facility
  • Anaheim, CA
National Provider Identifier
1285194167
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
IT'S TIME TO RECOVER, INC.
Practice address
1135 W. North St
Anaheim, CA 92801-4393
Phone
(714) 409-3951
Fax
(714) 844-4353
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Charlene Timm
Title
Administrative Director
Phone
(714) 409-3951

Specialties & licenses 1

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

Addresses

Primary practice location

1135 W. North St
Anaheim, CA 92801-4393

Mailing address

1135 W. North St
Anaheim, CA 92801-4393
Phone (714) 409-3951

Other practice location 1

1139 W North St
Anaheim, CA 92801-4335
Phone (657) 220-4393

Other identifiers 1

IdentifierTypeStateIssuer
01OtherCADHCS

National Provider Directory

National Provider Directory

Locations

510 S Harbor Blvd
Fullerton, CA 92832

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1285194167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W. NORTH ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014393",
            "telephone_number": "714-409-3951",
            "fax_number": "714-844-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W. NORTH ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014393",
            "telephone_number": "714-409-3951",
            "fax_number": "714-844-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 W North St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928014335",
            "country_code": "US",
            "telephone_number": "657-220-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IT'S TIME TO RECOVER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "714-409-3951"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.