Buckeye Recovery Network, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BUCKEYE RECOVERY NETWORK, LLC

Practice address

19322 Beach Blvd
Huntington Beach, CA 92648

Phone

(949) 515-9195

Fax

(949) 515-9193

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Ryan Stump

Title

Coo

Phone

(202) 441-3570

Specialties & licenses 2

Addresses

Tax ID family

Buckeye Recovery Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Buckeye Recovery Network, LLC

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
  • NPI 1194239426
  NPD tax ID

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1811268113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19322 BEACH BLVD.",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "949-515-9195",
            "fax_number": "949-515-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19322 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "949-515-9195",
            "fax_number": "949-515-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE RECOVERY NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "202-441-3570"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanik Bryan
• Lindsey Bryson
• Ksenia Bubukina
• Tyler Buchholz
• Buckeye Recovery Network, LLC
• Kayli Denae Buckingham
• Alli Budd-Vizcaino
• Arun Budhraja, MD
• Chona Bueza
• Stephanie Buffum, OT 12786

• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.