Highgrove Recuperative Care

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

HIGHGROVE RECUPERATIVE CARE

Practice address

25630 Felicia Ave
Menifee, CA 92586-2376

Phone

(951) 639-7350

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tai Odusami, PHDNPI 1720835788

Title

Ceo

Phone

(951) 772-6402

Specialties & licenses 2

Addresses

Other names 1

• Highgrove Recuperative care center Doing business as

Practitioners 1

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

• Tai Odusami, PHD

  • Recovery Care Clinic/Center
  • Menifee, CA
  • NPI 1720835788
  NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1417705674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25630 FELICIA AVE",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862376",
            "telephone_number": "951-772-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25630 FELICIA AVE",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862376",
            "telephone_number": "951-639-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHGROVE RECUPERATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "ODUSAMI",
        "authorized_official_first_name": "TAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-772-6402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highgrove Recuperative care center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Luis Hernandez Jr.
• Michelle Hernandez
• Brett Herndon
• Dominique Herzog Balderas
• Amanda Rose Hidalgo
• Remyanne Hilchey, M.A., CCC/SLP
• Dallas Michelle Hill
• Hillside Horizon for Teens, LLC
• Jane Le Hoang, PHARM.D.
• Jake R Hoctor, PHARMD

• Recovery Care Clinic/Center in Menifee, CA
• Providers in Menifee, CA by specialty
• Recovery Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.