Hope Canyon Recovery, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HOPE CANYON RECOVERY, INC

Practice address

100 Island Ave
San Diego, CA 92101-7000

Phone

(619) 343-2395

Fax

(305) 930-7437

NPI assigned

Nov 3, 2021

Organization subpart

Yes

Parent organization

HOPE CANYON RECOVERY, INCAs reported in NPPES

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

Authorized official

Name

Robert Niznik

Title

Ceo and Owner

Phone

(855) 633-6130

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hope Canyon Recovery, Inc Doing business as

Tax ID family

Hope Canyon2 organizations share this tax ID, including this one

Part of

Hope Canyon

Other organizations with this tax ID 1

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

• Hope Canyon

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1992216063
  NPD tax ID

Locations

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1457016552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NW 167TH ST STE 300",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695106",
            "telephone_number": "855-297-0980",
            "fax_number": "305-930-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ISLAND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017000",
            "telephone_number": "619-343-2395",
            "fax_number": "305-930-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CANYON RECOVERY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPE CANYON RECOVERY, INC",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "NIZNIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "855-633-6130"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTHCARE SERVICES",
            "identifier": "370001BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Canyon Recovery, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Hooyen
• Hope & Heart Psychiatry
• Hope 4 2Morrow LLC
• Hope and Strength Psychological Services ,PC
• Hope Canyon
• Hope for Healers
• Chelsea Alexandra Hope
• Cynthia Hope, ND
• Jennifer Hopek
• Miriam G Hopfenblatt, LVN

• Substance Abuse Rehabilitation Facility in San Diego, CA
• Providers in San Diego, 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 Nov 3, 2021; 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.