Active NPI
Resilience Rehabilitation, LLC
- Substance Abuse Rehabilitation Facility
- Murrieta, CA
National Provider Identifier
1578037271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RESILIENCE REHABILITATION, LLC
- Practice address
- 25207 Parkcrest Dr
Murrieta, CA 92562-5950 - Phone
- (562) 841-2537
- NPI assigned
- Jan 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hua Ma Cordingly
- Title
- Executive Director
- Phone
- (888) 772-5191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
25207 Parkcrest Dr
Murrieta, CA 92562-5950
Mailing address
25207 Parkcrest Dr
Murrieta, CA 92562-5950
Other names 1
- R Rehab
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571184000000",
"number": "1578037271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25207 PARKCREST DR",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25207 PARKCREST DR",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625950",
"telephone_number": "562-841-2537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENCE REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-15",
"last_updated": "2019-10-16",
"status": "A",
"authorized_official_last_name": "CORDINGLY",
"authorized_official_first_name": "HUA MA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "888-772-5191"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "R Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.