NPIMap

Organization Active NPI

Wellness Recovery Retreat Center

  • Substance Abuse Rehabilitation Facility
  • Campbell, CA
National Provider Identifier
1447935804
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WELLNESS RECOVERY RETREAT CENTER
Practice address
910 Campisi Way Ste 2C
Campbell, CA 95008-2351
Phone
(408) 478-5806
NPI assigned
Jun 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Angel Garcia
Title
Ceo
Phone
(855) 762-3797

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

910 Campisi Way Ste 2C
Campbell, CA 95008-2351

Mailing address

910 Campisi Way Ste 2C
Campbell, CA 95008-2351
Phone (855) 762-3797

Other names 1

  • Wellness Retreat Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wellness Recovery Retreat Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1447935804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CAMPISI WAY STE 2C",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082351",
            "telephone_number": "855-762-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CAMPISI WAY STE 2C",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082351",
            "telephone_number": "408-478-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RECOVERY RETREAT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-762-3797"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Retreat Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness Retreat Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.