Active NPI
It'S Time to Recover, Inc.
- Substance Abuse Rehabilitation Facility
- Anaheim, CA
National Provider Identifier
1285194167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Other | CA | DHCS |
National Provider Directory
National Provider DirectoryLocations
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.