Lead Recovery Transitional Living Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC

Practice address

192 S Craig Dr
Orange, CA 92869-3731

Phone

(800) 380-0012

Fax

(949) 666-8393

NPI assigned

Mar 16, 2020

Organization subpart

No

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

Authorized official

Name

Karina Nurmberg

Title

Program Manager

Phone

(949) 282-8016

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lead Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lead Recovery Transitional Living Center, LLC

  dba LEAD Recovery Center

  • Case Management Agency
  • Santa Ana, CA
  • NPI 1689156507
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy T Picon, CADC II

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
  • NPI 1144812256
  NPD

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1306472832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 S CRAIG DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693731",
            "telephone_number": "949-282-8016",
            "fax_number": "949-666-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 S CRAIG DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693731",
            "telephone_number": "800-380-0012",
            "fax_number": "949-666-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "NURMBERG",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "949-282-8016"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinh Le
• Vu Le
• Vuong Le, NONE
• William Le
• Erica Leachman
• Marie-Claire Leaf
• Leafwing
• Leafwing Center
• Julie Ann Leahy, NP
• Alejandra Leal Angulo

• Substance Abuse Rehabilitation Facility in Orange, CA
• Providers in Orange, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.