Socal Empowered, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SOCAL EMPOWERED, LLC

Practice address

22602 Costa Bella Dr
Lake Forest, CA 92630-4218

Phone

(888) 846-8569

NPI assigned

Jun 7, 2019

Last updated

Jan 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Perraie

Title

Coo

Phone

(714) 313-3841

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Socal Empowered LLC4 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.

• Socal Empowered, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Mission Viejo, CA
  • NPI 1386581064
  NPD tax ID
• Socal Empowered, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Mission Viejo, CA
  • NPI 1851052062
  NPD tax ID
• Socal Empowered, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Idaho Falls, ID
  • NPI 1528830619
  NPD tax ID

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1841859402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22602 COSTA BELLA DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304218",
            "telephone_number": "888-846-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22602 COSTA BELLA DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304218",
            "telephone_number": "888-846-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL EMPOWERED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "PERRAIE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "714-313-3841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Home Care Inc.
• Chelsi Joy Smith I, CNA
• Socal Adolescent Wellness, Inc.
• Socal Adolescent Wellness, Inc.
• Socal Counseling Services
• Sofia Rodriguez DDS, Inc.
• Mariam Soldin-Wasfi, D.M.D
• Amani Soliman, D.D.S.
• Rachel Soltani
• Ryan Michael Somers, DPT

• Psychiatric Residential Treatment Facility in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.