417 North County LLC

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

417 NORTH COUNTY LLC

Practice address

1595 Grand Ave
San Marcos, CA 92078-2450

Phone

(760) 485-6563

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Stevie Michelle Kuhn

Title

Owner/Cfo

Phone

(760) 485-6563

Specialties & licenses 3

Addresses

Other names 1

• 417 RECOVERY Doing business as

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1356915821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 GRAND AVE",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782450",
            "telephone_number": "760-485-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 GRAND AVE",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782450",
            "telephone_number": "760-485-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "417 NORTH COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "760-485-6563"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "417 RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 100 Chiropractic Grant SE Inc
• 180 Medical, Inc.
• 2ND to None Physical Therapy Inc
• 4 Hearts Hospice, Inc.
• Aar Healthcare, PC
• Farinaz Abdi
• Lauren Abram, LCSW
• Tracy M Abrams, R.N.
• Christian Michael Absi, PA-C

• Children's Substance Abuse Rehabilitation Facility in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Children's Substance Abuse Rehabilitation Facility in California

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