NPIMap

Organization Active NPI

Ocean Hills Recovery Inc.

  • Substance Abuse Rehabilitation Facility
  • San Juan Capistrano, CA
National Provider Identifier
1639677511
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
OCEAN HILLS RECOVERY INC.
Practice address
27126B Paseo Espada
Suite 725
San Juan Capistrano, CA 92675
Phone
(949) 388-0112
Fax
(949) 481-5346
NPI assigned
Jan 25, 2018
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Holly Wagner
Title
Vice President
Phone
(949) 388-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

27126B Paseo Espada
Suite 725
San Juan Capistrano, CA 92675

Mailing address

27124 Paseo Espada Ste 805
San Juan Capistrano, CA 92675-6787
Phone (949) 388-0112

National Provider Directory

National Provider Directory
Tax ID family
Ocean Hills Recovery Inc7 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.

Locations

27124 Paseo Espada
Ste 805
San Juan Capistrano, CA 92675
Phone (949) 388-0112

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1639677511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27124 PASEO ESPADA STE 805",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756787",
            "telephone_number": "949-388-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27126B PASEO ESPADA",
            "address_2": "SUITE 725",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-388-0112",
            "fax_number": "949-481-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN HILLS RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "949-388-0112"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 25, 2018; 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.