True Life Recovery, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300631AP Issued in CA

Legal business name

TRUE LIFE RECOVERY, INC.

Practice address

16832 Maple St
Fountain Valley, CA 92708-2227

Phone

(949) 520-0350

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Hayden Moser

Title

Billing Manager

Phone

(949) 446-6281

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

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1922459551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3097",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590639",
            "telephone_number": "949-520-0530",
            "fax_number": "949-271-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16832 MAPLE ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082227",
            "telephone_number": "949-520-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE LIFE RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-446-6281"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300631AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "300631AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Fountain Valley, CA
• Providers in Fountain Valley, 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 Jul 20, 2023; 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.