NPIMap

Organization Active NPI

Simple Recovery, Inc

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
National Provider Identifier
1801134564
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300247AP Issued in CA
Legal business name
SIMPLE RECOVERY, INC
Practice address
9531 Netherway Dr
Huntington Beach, CA 92646-6051
Phone
(949) 646-3600
NPI assigned
Jan 30, 2013
Last updated
Oct 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Mr. Stephen Odom
Title
Account Manager
Phone
(949) 646-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 300247AP CA
Substance Abuse Rehabilitation Facility 324500000X 300247AP CA Primary

Addresses

Primary practice location

9531 Netherway Dr
Huntington Beach, CA 92646-6051

Mailing address

9531 Netherway Dr
Huntington Beach, CA 92646-6051
Phone (949) 646-3600

National Provider Directory

National Provider Directory
Tax ID family
Simple Recovery Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1801134564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9531 NETHERWAY DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466051",
            "telephone_number": "949-646-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9531 NETHERWAY DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466051",
            "telephone_number": "949-646-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE RECOVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "949-646-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "300247AP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300247AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.