Nationwide Recovery Centers, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300634AP Issued in CA

Legal business name

NATIONWIDE RECOVERY CENTERS, LLC

Practice address

22602 Costa Bella Dr
Lake Forest, CA 92630-4218

Phone

(203) 260-8577

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Ryan Connelly

Title

Operations Manager

Phone

(203) 260-8577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1417317421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N EL CAMINO REAL",
            "address_2": "STE A141",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22602 COSTA BELLA DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304218",
            "telephone_number": "203-260-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE RECOVERY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "203-260-8577"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300634AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Lake Forest, CA
• Providers in Lake Forest, 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 3, 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.