NPIMap

Organization Active NPI

Divine Rehabilitation, Education, & Housing Network

Doing business as Crossroads Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Whittier, CA
National Provider Identifier
1871903179
Registry record updated May 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DIVINE REHABILITATION, EDUCATION, & HOUSING NETWORK
Doing business as
Crossroads Recovery Centers
Practice address
11503 Gladhill Rd
Whittier, CA 90604-3202
Phone
(562) 947-3653
Fax
(562) 393-4442
NPI assigned
May 7, 2014
Last updated
May 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2019

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

Authorized official

Name
Edgar Villa, LCSWNPI 1053608570
Title
Ceo
Phone
(844) 276-7773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

11503 Gladhill Rd
Whittier, CA 90604-3202

Mailing address

402 E la Habra Blvd
La Habra, CA 90631-5525
Phone (844) 276-7773

Other practice location 1

402 E La Habra Blvd
LA Habra, CA 90631-5525
Phone (844) 276-7773

Other practice location 2

12433 Lambert Rd Ste A
Whittier, CA 90606-2779
Phone (877) 293-0722

Other names 1

  • Crossroads Recovery Centers Doing business as

National Provider Directory

National Provider Directory

Locations

402 E La Habra Blvd
La Habra, CA 90631
Phone (562) 217-4410

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558742400000",
    "number": "1871903179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315525",
            "telephone_number": "844-276-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 GLADHILL RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906043202",
            "telephone_number": "562-947-3653",
            "fax_number": "562-393-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 E La Habra Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906315525",
            "country_code": "US",
            "telephone_number": "844-276-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12433 Lambert Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906062779",
            "country_code": "US",
            "telephone_number": "877-293-0722",
            "fax_number": "562-393-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE REHABILITATION, EDUCATION, & HOUSING NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2019-05-25",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-276-7773",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; 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.