Alexandra Rose Corporation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300245AP Issued in CA

Legal business name

ALEXANDRA ROSE CORPORATION

Doing business as

South Orange County Detox & Treatment

Practice address

35402 Camino Capistrano
Dana Point, CA 92624-1805

Phone

(949) 584-5927

NPI assigned

Oct 23, 2017

Last updated

Mar 17, 2018By 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

Salina Shuler, MSW

Title

Ceo

Phone

(714) 785-2512

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Orange County Detox & Treatment Doing business as

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1851802458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 CALLE ABRIL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732603",
            "telephone_number": "949-584-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35402 CAMINO CAPISTRANO",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926241805",
            "telephone_number": "949-584-5927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Calle Abril",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926732603",
            "country_code": "US",
            "telephone_number": "714-785-2512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEXANDRA ROSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "SALINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-785-2512",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300245AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "300245BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Orange County Detox & Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Dana Point, CA
• Providers in Dana Point, 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 Mar 17, 2018; 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.