NPIMap

Organization Active NPI

Unidos Recovery Home

  • Substance Abuse Rehabilitation Facility
  • Garden Grove, CA
National Provider Identifier
1578871604
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300010AN Issued in CA
Legal business name
UNIDOS RECOVERY HOME
Practice address
9842 13TH St
B
Garden Grove, CA 92844-3171
Phone
(714) 531-4624
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Mrs. Lisa Borja
Title
Director
Phone
(714) 479-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300010AN CA Primary

Addresses

Primary practice location

9842 13TH St
B
Garden Grove, CA 92844-3171

Mailing address

9842 13TH St
B
Garden Grove, CA 92844-3171
Phone (714) 531-4624

National Provider Directory

National Provider Directory
Tax ID family
California Hispanic Commision3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1578871604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9842 13TH ST",
            "address_2": "B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443171",
            "telephone_number": "714-531-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9842 13TH ST",
            "address_2": "B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443171",
            "telephone_number": "714-531-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIDOS RECOVERY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-479-0120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300010AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.