Casa Recovery, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CASA RECOVERY, INC.

Practice address

31877 Del Obispo St Ste 104
San Juan Capistrano, CA 92675-3209

Phone

(888) 928-2272

Fax

(949) 284-0574

NPI assigned

Oct 29, 2013

Last updated

Nov 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Krishna Jessick, CATC

Title

Executive Director

Phone

(949) 289-2752

Specialties & licenses 3

Addresses

Tax ID family

Casa Recovery Inc2 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.

• Casa Recovery, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Juan Capistrano, CA
  • NPI 1245664127
  NPD tax ID

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1477981447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7658",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926247658",
            "telephone_number": "888-928-2272",
            "fax_number": "949-284-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31877 DEL OBISPO ST STE 104",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753209",
            "telephone_number": "888-928-2272",
            "fax_number": "949-284-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "JESSICK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-289-2752",
        "authorized_official_credential": "CATC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300268AP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos H Restrepo DDS Inc (Del Obispo Dental)
• Bernadette Carroll
• John H Carruth, MD
• Karen Jean Caruso, MSN, RN, FNP-BC
• Casa Recovery, Inc.
• Lisa Marie Cassarino
• Amara Castro
• Winifred Chambers, M.D.
• Becky Ngo Chan, PHARM D
• William Weiming Chang, D.O.

• Substance Use Disorder Rehabilitation Clinic/Center in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.