Organization Active NPI

Eleven 11 Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Clemente, CA
National Provider Identifier
1881336931
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ELEVEN 11 RECOVERY LLC
Doing business as
Eleven 11 Recovery
Practice address
647 Camino de Los Mares Ste 221
San Clemente, CA 92673-2807
Phone
(949) 735-5167
NPI assigned
Apr 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Authorized official

Name
Michael Jordan
Title
Ceo
Phone
(619) 592-3558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

647 Camino de Los Mares Ste 221
San Clemente, CA 92673-2807

Mailing address

647 Camino de Los Mares Ste 221
San Clemente, CA 92673-2807
Phone (949) 735-5167

Other names 1

  • Eleven 11 Recovery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://eleven11recovery.com/

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
05D2317563Eleven 11 Recovery LLC647 Camino de Los Mares Ste 221, San Clemente, CA 92673Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Locations

647 Camino de los Mares
Ste 221
San Clemente, CA 92673
Phone (949) 228-9080

NPI Registry JSON

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1881336931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES STE 221",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732807",
            "telephone_number": "949-735-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES STE 221",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732807",
            "telephone_number": "949-735-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVEN 11 RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-10",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-592-3558"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://eleven11recovery.com/",
            "affiliation": "N",
            "address_1": "647 Camino De Los Mares Ste 221",
            "city": "San Clemente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926732807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eleven 11 Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eleven 11 Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; 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.