Rebound Support Group LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

REBOUND SUPPORT GROUP LLC

Practice address

515 W Commonwealth Ave Ste 213
Fullerton, CA 92832-1752

Phone

(714) 232-0649

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Michael Craig Jewett

Title

Ceo

Phone

(714) 232-0649

Specialties & licenses 2

Addresses

Other names 1

• Rebound Support Group Former legal business name

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1356109987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W COMMONWEALTH AVE STE 213",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321752",
            "telephone_number": "714-232-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W COMMONWEALTH AVE STE 213",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321752",
            "telephone_number": "714-232-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND SUPPORT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "JEWETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-232-0649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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": [
        {
            "organization_name": "Rebound Support Group",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rebound Support Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Fullerton, CA
• Providers in Fullerton, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.