Dana Shores Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DANA SHORES RECOVERY

Practice address

30971 Silver Leaf Dr
San Juan Capistrano, CA 92675-2952

Phone

(909) 213-8504

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Charles Hohman

Title

Ceo

Phone

(949) 503-1705

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farrah Dawn Gainey, LVN

  • Licensed Vocational Nurse
  • San Juan Capistrano, CA
  • NPI 1508634767
  NPD

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1952174849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30971 SILVER LEAF DR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752952",
            "telephone_number": "909-213-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30971 SILVER LEAF DR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752952",
            "telephone_number": "909-213-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA SHORES RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "HOHMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-503-1705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Dadd, LMFT
• Carol Lorraine Daderian, D.D.S.
• Jeremy Tait Dailey, LMFT, PHD
• Tanya Dall, MD
• Dan Hakjae Kim, a Professional Chiropractic Corp
• Daniel L Fortmann MD PC
• Sugganth Daniel, MD
• Dao Optometric Group
• Nina H Dao
• Steve Dao, OD

• Substance Abuse Rehabilitation Facility in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Nov 1, 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.