Lead Recovery Transitional Living Center, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC

Doing business as

LEAD Recovery Center

Practice address

1516 Brookhollow Dr Unit a
Santa Ana, CA 92705-5401

Phone

(949) 282-9447

Fax

(949) 666-8393

NPI assigned

Sep 6, 2018

Last updated

Jan 5, 2021By 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

Kathryn Nurmberg

Title

Cfo

Phone

(949) 282-9447

Specialties & licenses 2

Addresses

Other names 1

• LEAD Recovery Center Doing business as

Tax ID family

Lead Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lead Recovery Transitional Living Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Orange, CA
  • NPI 1306472832
  NPD tax ID

Locations

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1689156507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 BROOKHOLLOW DR UNIT A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055401",
            "telephone_number": "949-282-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 BROOKHOLLOW DR UNIT A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055401",
            "telephone_number": "949-282-9447",
            "fax_number": "949-666-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1897 Orange Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272846",
            "country_code": "US",
            "telephone_number": "949-282-9447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3151 Airway Ave Ste F107",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264623",
            "country_code": "US",
            "telephone_number": "949-282-9447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "NURMBERG",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-282-9447"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEAD Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tommy Le
• Tramie Le
• Tuan Quangquy Le, DDS
• Uyen Le, NBC-HWC
• Yulya Teresia Le
• Sandra Guiomar Leal Pinilla, DDS
• Adrian Leal
• Alejandra Leal
• Janika Leary, LCSWA
• Jessica Rose Leavell, MA

• Case Management Agency in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.