Organization Active NPI

Sobriety Services, Inc.

Doing business as Southcoast Recovery

  • Substance Abuse Rehabilitation Facility
  • San Juan Capistrano, CA
National Provider Identifier
1639359086
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300177AP Issued in CA
Legal business name
SOBRIETY SERVICES, INC.
Doing business as
Southcoast Recovery
Practice address
31877 Del Obispo St
Suite 104
San Juan Capistrano, CA 92675-3233
Phone
(949) 273-4200
Fax
(949) 489-1189
NPI assigned
Nov 13, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mr. Dennis Larkin, CATC
Title
Ceo
Phone
(949) 273-4200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 30077AP CA
Substance Abuse Rehabilitation Facility 324500000X 300177AP CA Primary

Addresses

Primary practice location

31877 Del Obispo St
Suite 104
San Juan Capistrano, CA 92675-3233

Mailing address

31877 Del Obispo St
Suite 105
San Juan Capistrano, CA 92675-3233
Phone (949) 273-4200

Other names 1

  • Southcoast Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

31877 Del Obispo St
Ste 105
San Juan Capistrano, CA 92675
Phone (949) 228-2640

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1639359086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31877 DEL OBISPO ST",
            "address_2": "SUITE 105",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753233",
            "telephone_number": "949-273-4200",
            "fax_number": "949-488-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31877 DEL OBISPO ST",
            "address_2": "SUITE 104",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753233",
            "telephone_number": "949-273-4200",
            "fax_number": "949-489-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIETY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "LARKIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-273-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CATC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "30077AP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300177AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southcoast Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.