Zen Recovery,LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300260AP Issued in CA

Legal business name

ZEN RECOVERY,LLC

Practice address

126 E 16TH St
Costa Mesa, CA 92627-7704

Phone

(949) 940-5445

Fax

(877) 637-8749

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Helen M Carver

Title

Ceo

Phone

(800) 759-1930

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Zen Mountain Path2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Zen Mountain Path

  • Substance Abuse Rehabilitation Facility
  • Corona del Mar, CA
  • NPI 1598151490
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mathew William Carver

  • Adult Mental Health Clinic/Center
  • Costa Mesa, CA
  • NPI 1255823779
  NPD

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1386907418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E 16TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277704",
            "telephone_number": "949-940-5445",
            "fax_number": "877-637-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E 16TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277704",
            "telephone_number": "949-940-5445",
            "fax_number": "877-637-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN RECOVERY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-759-1930",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300260AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "1154559433",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "1013029172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Alexis Zazueta
• Jade Zeeman
• Terry Ann Zeigler, AT
• Tarek G.M. Zeitoune, D.D.S.
• Zen Center of Orange County
• Muna Tilahun Zergaw
• Yu Zhang
• Cloie Zhou
• Emily Zhou
• Jingyi Zhou

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.