NPIMap

Organization Active NPI

California Palms Addiction Recovery Campus Inc.

  • Primary Care Clinic/Center
  • Austintown, OH
National Provider Identifier
1366045445
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CALIFORNIA PALMS ADDICTION RECOVERY CAMPUS INC.
Practice address
1051 N Canfield Niles Rd
Austintown, OH 44515-1110
Phone
(800) 262-3742
NPI assigned
Nov 19, 2020
Organization subpart
Yes
Parent organization
CALIFORNIA PALMS ADDICTION RECOVERY CAMPUSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Sebastian Rucci
Title
Owner & Ceo
Phone
(800) 262-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1051 N Canfield Niles Rd
Austintown, OH 44515-1110

Mailing address

1051 N Canfield Niles Rd
Austintown, OH 44515-1110

National Provider Directory

National Provider Directory
Tax ID family
California Palms Addiction Recovery Campus Inc3 organizations share this tax ID, including this one
Part of
California Palms Addiction Recovery Campus Inc

Other organizations with this tax ID 2

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

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": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1366045445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 N CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 N CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151110",
            "telephone_number": "800-262-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PALMS ADDICTION RECOVERY CAMPUS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA PALMS ADDICTION RECOVERY CAMPUS",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "RUCCI",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "800-262-3742"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.