Organization Active NPI

Morningside Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Irvine, CA
National Provider Identifier
1720264963
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300168IP Issued in CA
Legal business name
MORNINGSIDE RECOVERY, LLC
Practice address
1400 Reynolds Ave
Irvine, CA 92614
Phone
(949) 675-0006
Fax
(949) 675-0007
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Mr. Raymond Jeffrey Yates
Title
Owner/President
Phone
(949) 675-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300168IP CA Primary

Addresses

Primary practice location

1400 Reynolds Ave
Irvine, CA 92614

Mailing address

1400 Reynolds Ave, Suite 200
Irvine, CA 92614
Phone (949) 675-0006

Other identifiers 1

IdentifierTypeStateIssuer
300168IPOtherCADEPT. ALCOHOL AND DRUG PROGRAMS (ADP)

National Provider Directory

National Provider Directory
Tax ID family
Morningside Recovery 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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1720264963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 REYNOLDS AVE, SUITE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "949-675-0006",
            "fax_number": "949-675-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 REYNOLDS AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "949-675-0006",
            "fax_number": "949-675-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-675-0006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300168IP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. ALCOHOL AND DRUG PROGRAMS (ADP)",
            "identifier": "300168IP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.