NPIMap

Organization Active NPI

The Stephouse Recovery, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fountan Valley, CA
National Provider Identifier
1487906871
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
300251AP Issued in CA
Legal business name
THE STEPHOUSE RECOVERY, INC.
Practice address
10529 Slater Ave
Fountan Valley, CA 92708
Phone
(714) 394-3494
Fax
(714) 969-2889
NPI assigned
Oct 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. George James Vilagut
Title
Ceo
Phone
(714) 394-3494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 300251AP CA Primary

Addresses

Primary practice location

10529 Slater Ave
Fountan Valley, CA 92708

Mailing address

10529 Slater Ave
Fountain Valley, CA 92708-4841
Phone (714) 394-3494

National Provider Directory

National Provider Directory
Tax ID family
Stephouse Recovery7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487906871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10529 SLATER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084841",
            "telephone_number": "714-394-3494",
            "fax_number": "714-969-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10529 SLATER AVE",
            "city": "FOUNTAN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-394-3494",
            "fax_number": "714-969-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STEPHOUSE RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VILAGUT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-394-3494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "300251AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.