Organization Active NPI

Create Hope Recovery

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1700585015
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on May 20, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
616832OtherCATHE JOINT COMMISSION

Other names 1

  • Creo Recovery Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL swc10935.kipuworks.com Health Information Exchange (HIE)
CONNECT URL swc10935.kipuworks.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.