Organization Active NPI

Products for Recovery Management Group LLC

  • Substance Abuse Rehabilitation Facility
  • Dana Point, CA
National Provider Identifier
1730630070
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PRODUCTS FOR RECOVERY MANAGEMENT GROUP LLC
Practice address
33151 Mesa Vista Dr
Dana Point, CA 92629-1112
Phone
(770) 374-9970
Fax
(949) 799-2543
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Mr. Eric Cunningham
Title
Ceo
Phone
(949) 835-0123

Specialties & licenses 1

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

Addresses

Primary practice location

33151 Mesa Vista Dr
Dana Point, CA 92629-1112

Mailing address

PO Box 16727
Irvine, CA 92623-6727
Phone (305) 733-5928

Other practice location 1

24482 Caracas St
Dana Point, CA 92629-4168
Phone (657) 235-0178

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cabh.validclaims.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": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1730630070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16727",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926236727",
            "telephone_number": "305-733-5928",
            "fax_number": "888-965-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33151 MESA VISTA DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291112",
            "telephone_number": "770-374-9970",
            "fax_number": "949-799-2543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24482 Caracas St",
            "address_purpose": "LOCATION",
            "city": "Dana Point",
            "state": "CA",
            "postal_code": "926294168",
            "country_code": "US",
            "telephone_number": "657-235-0178",
            "fax_number": "888-320-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRODUCTS FOR RECOVERY MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-835-0123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cabh.validclaims.com",
            "affiliation": "N",
            "endpointDescription": "Software system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Records",
            "address_1": "33151 Mesa Vista Dr",
            "city": "Dana Point",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926291112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.