Organization Active NPI

Hower Lodge, Inc.

Doing business as Hope Lodge

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1679335483
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HOWER LODGE, INC.
Doing business as
Hope Lodge
Practice address
1545 Newport Blvd
Costa Mesa, CA 92627-3714
Phone
(949) 701-1959
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Peter Gates
Title
Cco/Managing Member
Phone
(949) 701-1959

Specialties & licenses 1

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

Addresses

Primary practice location

1545 Newport Blvd
Costa Mesa, CA 92627-3714

Mailing address

33171 Paseo Cerveza
San Juan Capistrano, CA 92675-4824

Other names 1

  • Hope Lodge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hope Lodge4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1545 Newport Blvd
Costa Mesa, CA 92627
Phone (949) 548-2700

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1679335483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33171 PASEO CERVEZA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273714",
            "telephone_number": "949-701-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWER LODGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CCO/MANAGING MEMBER",
        "authorized_official_telephone_number": "949-701-1959"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.