Landmark Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LANDMARK RECOVERY, LLC

Practice address

23265 S Pointe Dr
Suite 101
Laguna Hills, CA 92653-1472

Phone

(888) 792-9170

Fax

(888) 972-2681

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Andrew RevilleNPI 1144684606

Title

Authorized Official

Phone

(888) 792-9170

Specialties & licenses 1

Addresses

Other names 1

• LANDMARK RECOVERY Doing business as

Locations

Practitioners 1

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

• Andrew Reville

  • Behavior Analyst
  • Laguna Hills, CA
  • NPI 1144684606
  NPD (past) Authorized official

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1992159495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23265 S POINTE DR",
            "address_2": "SUITE 101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531472",
            "telephone_number": "888-792-9170",
            "fax_number": "888-972-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23265 S POINTE DR",
            "address_2": "SUITE 101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531472",
            "telephone_number": "888-792-9170",
            "fax_number": "888-972-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "REVILLE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "888-792-9170"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANDMARK RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Lam, M.D.
• Tseuk Yan Zennie Lam, CPO
• Vincent Lam, PT, DPT
• Anna Lamboy, P.T.
• Daniel H Lamont, M.D.
• Jonah Landon
• James Richard Lane Italiane, BC-HIS, ACA
• Sylvia B. Lane, LCSW, MFT
• Tracy Lane
• Tina Maria Langaee, PA

• Substance Abuse Rehabilitation Facility in Laguna Hills, CA
• Providers in Laguna Hills, 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 Mar 1, 2017; 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.