NPIMap

Organization Active NPI

Wings Recovery Center, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Carlsbad, CA
National Provider Identifier
1861023301
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
WINGS RECOVERY CENTER, INC.
Practice address
785 Grand Ave Ste 101
Carlsbad, CA 92008-2370
Phone
(858) 220-9519
NPI assigned
Feb 3, 2020
Organization subpart
Yes
Parent organization
WINGS RECOVERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Katy Hoslar
Title
Program Director
Phone
(858) 220-9519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

785 Grand Ave Ste 101
Carlsbad, CA 92008-2370

Mailing address

785 Grand Ave Ste 101
Carlsbad, CA 92008-2370

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2285694Wings Recovery Center, Inc785 Grand Ave, Suite 101, Carlsbad, CA 92008Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wings Recovery Center10 organizations share this tax ID, including this one
Part of
Wings Recovery Center

Other organizations with this tax ID 9

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": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1861023301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 GRAND AVE STE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 GRAND AVE STE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082370",
            "telephone_number": "858-220-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS RECOVERY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINGS RECOVERY CENTER",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "HOSLAR",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "858-220-9519"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.