Organization Active NPI

Unidos Recovery Home

  • Substance Abuse Rehabilitation Facility
  • Garden Grove, CA
National Provider Identifier
1356762264
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
9423001551 Issued in CA
Legal business name
UNIDOS RECOVERY HOME
Practice address
9842 13TH St Ste B
Garden Grove, CA 92844-3171
Phone
(714) 531-4624
Fax
(714) 531-1189
NPI assigned
Dec 18, 2013
Organization subpart
Yes
Parent organization
CALIFORNIA HISPANIC COMMISIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Mr. Ronald David Lee II, CSC
Title
Program Manager
Phone
(714) 531-4624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 9423001551 CA Primary

Addresses

Primary practice location

9842 13TH St Ste B
Garden Grove, CA 92844-3171

Mailing address

9842 13TH St Ste B
Garden Grove, CA 92844-3171
Phone (714) 531-4624

Other names 1

  • chcada Other name

National Provider Directory

National Provider Directory
Part of
Unidos Recovery Home

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1356762264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9842 13TH ST STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443171",
            "telephone_number": "714-531-4624",
            "fax_number": "714-531-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9842 13TH ST STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443171",
            "telephone_number": "714-531-4624",
            "fax_number": "714-531-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIDOS RECOVERY HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA HISPANIC COMMISION",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "714-531-4624",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "CSC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "9423001551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chcada",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.