Organization Active NPI

Safehouse Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Clemente, CA
National Provider Identifier
1386448207
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SAFEHOUSE RECOVERY
Practice address
665 Camino de Los Mares Ste 105
San Clemente, CA 92673-2859
Phone
(949) 844-5440
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Shawn Bullington
Title
Coo
Phone
(479) 629-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

665 Camino de Los Mares Ste 105
San Clemente, CA 92673-2859

Mailing address

24988 La Pantera
Laguna Niguel, CA 92677-7532
Phone (949) 844-5440

National Provider Directory

National Provider Directory

Locations

665 Camino de los Mares
Ste 105
San Clemente, CA 92673
Phone (949) 844-5440

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1386448207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24988 LA PANTERA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777532",
            "telephone_number": "949-844-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 105",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732859",
            "telephone_number": "949-844-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEHOUSE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "BULLINGTON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "479-629-7223"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 1, 2025; 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.