Organization Active NPI

Morningside Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Garden Grove, CA
National Provider Identifier
1356890073
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MORNINGSIDE RECOVERY, LLC
Practice address
9842 13TH St
Garden Grove, CA 92844-3171
Phone
(949) 675-0006
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Raymond G Yates
Title
Owner
Phone
(949) 675-0006

Specialties & licenses 1

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

Addresses

Primary practice location

9842 13TH St
Garden Grove, CA 92844-3171

Mailing address

1400 Reynolds Ave
Ste 200
Irvine, CA 92614-5559
Phone (949) 675-0006

National Provider Directory

National Provider Directory
Tax ID family
Morningside Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1356890073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 REYNOLDS AVE",
            "address_2": "STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145559",
            "telephone_number": "949-675-0006",
            "fax_number": "949-675-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9842 13TH ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443171",
            "telephone_number": "949-675-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-675-0006"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 22, 2016; 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.