Organization Active NPI

Hilltop Way, LLC

Doing business as Ocean Ridge Recovery

  • Substance Abuse Rehabilitation Facility
  • San Clemente, CA
National Provider Identifier
1356882088
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HILLTOP WAY, LLC
Doing business as
Ocean Ridge Recovery
Practice address
3813 Via del Campo
San Clemente, CA 92673-2636
Phone
(949) 545-7623
Fax
(949) 545-7624
NPI assigned
Mar 14, 2017
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Jack Jewelinski
Title
Executive Director
Phone
(949) 545-7623

Specialties & licenses 1

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

Addresses

Primary practice location

3813 Via del Campo
San Clemente, CA 92673-2636

Mailing address

3813 Via del Campo
San Clemente, CA 92673-2636
Phone (949) 545-7623

Other practice location 1

24921 Georgia Sue
Laguna Hills, CA 92653-4323
Phone (949) 545-7623

Other identifiers 2

IdentifierTypeStateIssuer
300391CPOtherCADEPARTMENT OF HEALTH CARE SERVICES
300391BPOtherCADEPARTMENT OF HEALTH CARE SERVICES

Other names 1

  • Ocean Ridge Recovery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1356882088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 VIA DEL CAMPO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732636",
            "telephone_number": "949-545-7623",
            "fax_number": "949-545-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 VIA DEL CAMPO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732636",
            "telephone_number": "949-545-7623",
            "fax_number": "949-545-7624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24921 Georgia Sue",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926534323",
            "country_code": "US",
            "telephone_number": "949-545-7623",
            "fax_number": "949-545-7624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILLTOP WAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "JEWELINSKI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-545-7623"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "300391CP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "300391BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Ridge Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ocean Ridge Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.