NPIMap

Organization Active NPI

Wings Recovery Center, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Vista, CA
National Provider Identifier
1700361615
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
WINGS RECOVERY CENTER, INC.
Practice address
1013 Crest View Rd
Vista, CA 92081-6806
Phone
(858) 220-9519
NPI assigned
Sep 26, 2018
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Katy Hoslar, LMFTNPI 1841615242
Title
Cfo
Phone
(858) 220-9519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1013 Crest View Rd
Vista, CA 92081-6806

Mailing address

785 Grand Ave Ste 101
Carlsbad, CA 92008-2370
Phone (858) 220-9519

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2168042Wings Recovery Center, Inc1013 Crest View Road, Vista, CA 92081Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wings Recovery Center Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1700361615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 GRAND AVE STE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082370",
            "telephone_number": "858-220-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CREST VIEW RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816806",
            "telephone_number": "858-220-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "HOSLAR",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "858-220-9519",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.