Casa Capri Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CASA CAPRI RECOVERY LLC

Doing business as

Casa Capri

Practice address

675 Governor St
Costa Mesa, CA 92627-2504

Phone

(877) 713-2669

NPI assigned

Feb 19, 2020

Last updated

May 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ian Roy

Title

Billing Director

Phone

(949) 446-6288

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Casa Capri Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Casa Capri6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Casa Capri

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1013426816
  NPD tax ID
• Casa Capri

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1366892838
  NPD tax ID
• Casa Capri

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1841640307
  NPD tax ID
• Casa Capri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport Beach, CA
  • NPI 1841640315
  NPD tax ID
• Casa Capri, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport Beach, CA
  • NPI 1225927767
  NPD tax ID

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1669005575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WESTERLY PL STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602302",
            "telephone_number": "877-713-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 GOVERNOR ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272504",
            "telephone_number": "877-713-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA CAPRI RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "949-446-6288"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "300326FP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Capri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lily Carver
• Mathew William Carver
• Casa Capri
• Casa Capri
• Casa Capri
• Christian Gerric Casco
• Michael David Durand Caserta
• Casey a Goodman, MD, Inc
• Brandy Casey, NP
• Lisa Renee Casey

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.