Rebecca'S House

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

REBECCA'S HOUSE

Practice address

23861 El Toro Rd FL 7
Lake Forest, CA 92630-4732

Phone

(800) 711-2630

NPI assigned

Dec 31, 2010

Organization subpart

No

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

Authorized official

Name

Rebecca Cooper

Title

Founder, Director

Phone

(800) 711-2062

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1992009286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23861 EL TORO RD FL 7",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23861 EL TORO RD FL 7",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304732",
            "telephone_number": "800-711-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FOUNDER, DIRECTOR",
        "authorized_official_telephone_number": "18007112062"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.