Socal Empowered, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SOCAL EMPOWERED, LLC

Practice address

23671 Brasilia St
Mission Viejo, CA 92691-3047

Phone

(888) 846-8569

NPI assigned

Jan 10, 2022

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

James Perraie

Title

Coo

Phone

(714) 313-3841

Specialties & licenses 1

Addresses

Other identifiers 1

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

  • Psychiatric Residential Treatment Facility
  • Lake Forest, CA
  • NPI 1841859402
  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": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1851052062",
    "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": "23671 BRASILIA ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913047",
            "telephone_number": "888-846-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL EMPOWERED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "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"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "306006036",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Allen Snipes, M.S., CCC, SLP
• Brittany Snook
• So Cal Sleep Solutions
• Madeline Sober
• Socal Empowered, LLC
• Socal Nurse Advocates, LLC
• Sochoa Equipment LLC
• Social Behavior Education Center LLC
• Edward Solis
• Gary Richard Solomon, RPH

• Mental Illness Community Based Residential Treatment Facility in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Mental Illness Community Based 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.