NPIMap

Organization Active NPI

Children'S Recovery Center 2, LLC

  • SNF/Subacute Care Certified Respiratory Therapist
  • Saratoga, CA
National Provider Identifier
1700940558
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SNF/Subacute Care Certified Respiratory TherapistTaxonomy code 2278S1500X
License
220000426 Issued in CA
Legal business name
CHILDREN'S RECOVERY CENTER 2, LLC
Practice address
13425 Sousa Lane
Saratoga, CA 95070
Phone
(408) 340-1568
Fax
(408) 866-8144
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Mr. Kenneth Shawn McGuire
Title
President/Ceo
Phone
(408) 340-1568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SNF/Subacute Care Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278S1500X
SNF/Subacute Care Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278S1500X 220000426 CA Primary

Addresses

Primary practice location

13425 Sousa Lane
Saratoga, CA 95070

Mailing address

13425 Sousa Lane
Saratoga, CA 95070
Phone (408) 340-1568

Other names 1

  • Saratoga Pediatric Subacute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Recovery Center 2 LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1700940558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 SOUSA LANE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "95070",
            "telephone_number": "408-340-1568",
            "fax_number": "408-866-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 SOUSA LANE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "95070",
            "telephone_number": "408-340-1568",
            "fax_number": "408-866-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S RECOVERY CENTER 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "408-340-1568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2278S1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, SNF/Subacute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278S1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, SNF/Subacute Care",
            "state": "CA",
            "license": "220000426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saratoga Pediatric Subacute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.