Organization Active NPI

Create Hope Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1629545678
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CREATE HOPE RECOVERY
Doing business as
CREO SPERO
Create Hope Recovery
Sublime Wellness Center
Practice address
1231 W Saint Gertrude PL
Santa Ana, CA 92707-3132
Phone
(714) 587-4193
NPI assigned
Oct 29, 2018
Organization subpart
Yes
Parent organization
SURF CITY SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Authorized official

Name
Mike Priesing
Title
Owner
Phone
(657) 342-0265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1231 W Saint Gertrude PL
Santa Ana, CA 92707-3132

Mailing address

2414 S Fairview St Ste 215
Santa Ana, CA 92704-5318
Phone (888) 235-8353

Other practice location 1

2414 S Fairview St Ste 215
Santa Ana, CA 92704-5318
Phone (888) 235-8353

Other practice location 2

2414 S Fairview St Ste 201
Santa Ana, CA 92704-5344
Phone (714) 587-4193

Other names 3

  • CREO SPERO Doing business as
  • Create Hope Recovery Doing business as
  • Sublime Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Surf City Solutions LLC3 organizations share this tax ID, including this one
Part of
Surf City Solutions LLC

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568419200000",
    "number": "1629545678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST STE 215",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045318",
            "telephone_number": "888-235-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 W SAINT GERTRUDE PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073132",
            "telephone_number": "714-587-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 S Fairview St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927045318",
            "country_code": "US",
            "telephone_number": "888-235-8353",
            "fax_number": "714-398-8822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2414 S Fairview St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927045344",
            "country_code": "US",
            "telephone_number": "714-587-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATE HOPE RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURF CITY SOLUTIONS LLC",
        "enumeration_date": "2018-10-29",
        "last_updated": "2019-09-14",
        "status": "A",
        "authorized_official_last_name": "PRIESING",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "657-342-0265"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREO SPERO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Create Hope Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sublime Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sublime Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.