Active NPI
Create Hope Recovery
- Adult Mental Health Clinic/Center
- Santa Ana, CA
National Provider Identifier
1700585015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CREATE HOPE RECOVERY
- Doing business as
- Creo Recovery Center
- Practice address
- 2414 S Fairview St Ste 201
Santa Ana, CA 92704-5344 - Phone
- (949) 300-1657
- NPI assigned
- Feb 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Priesing
- Title
- Administrator
- Phone
- (949) 300-1657
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X |
Addresses
Primary practice location
2414 S Fairview St Ste 201
Santa Ana, CA 92704-5344
Mailing address
2414 S Fairview St Ste 201
Santa Ana, CA 92704-5344
Phone (949) 300-1657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616832 | Other | CA | THE JOINT COMMISSION |
Other names 1
- Creo Recovery Center
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | swc10935.kipuworks.com | Health Information Exchange (HIE) | |
| CONNECT URL | swc10935.kipuworks.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1700585015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 S FAIRVIEW ST STE 201",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045344",
"telephone_number": "949-300-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 S FAIRVIEW ST STE 201",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045344",
"telephone_number": "949-300-1657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATE HOPE RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-24",
"last_updated": "2024-05-20",
"certification_date": "2023-09-12",
"status": "A",
"authorized_official_last_name": "PRIESING",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "949-300-1657"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE JOINT COMMISSION",
"identifier": "616832",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "swc10935.kipuworks.com",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF and Live Docs",
"address_1": "2414 S Fairview St Ste 201",
"city": "Santa Ana",
"state": "CA",
"country_code": "US",
"postal_code": "927045344",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "swc10935.kipuworks.com",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2414 S Fairview St Ste 201",
"city": "Santa Ana",
"state": "CA",
"country_code": "US",
"postal_code": "927045344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Creo Recovery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Creo Recovery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.