NPIMap

Organization Active NPI

Harmony Junction Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Lake Forest, CA
National Provider Identifier
1346025095
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HARMONY JUNCTION RECOVERY LLC
Practice address
23591 El Toro Rd Ste 275
Lake Forest, CA 92630-4767
Phone
(877) 779-1190
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Clint Kreider
Title
Ceo
Phone
(949) 506-6983

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

23591 El Toro Rd Ste 275
Lake Forest, CA 92630-4767

Mailing address

34145 Pacific Coast Hwy # 116
Dana Point, CA 92629-2731

National Provider Directory

National Provider Directory
Tax ID family
Harmony Junction Recovery LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

23591 El Toro Rd
Ste 275
Lake Forest, CA 92630
Phone (877) 779-1190

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1346025095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34145 PACIFIC COAST HWY # 116",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23591 EL TORO RD STE 275",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304767",
            "telephone_number": "877-779-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY JUNCTION RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "KREIDER",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-506-6983"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.