PURE LIFE RECOVERY NPI 1225422066

NPI Information

  • NPI: 1225422066
  • Provider Name: PURE LIFE RECOVERY
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 1 CALLE SALTAMONTES
    SAN CLEMENTE, CA
    ZIP 92673
  • Phone: (949) 393-5033

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NPI Details

PURE LIFE RECOVERY is a substance abuse rehabilitation facility in San Clemente, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PURE LIFE RECOVERY NPI is 1225422066. The provider is registered as an organization entity type.

The provider's business location address is:

1 CALLE SALTAMONTES
SAN CLEMENTE, CA
ZIP 92673-004
Phone: (949) 393-5033

The provider's authorized official is Jeffrey Wilhite .
The authorized official title is President and has the following contact phone number (949) 899-0895.

The enumeration date for this NPI number is 3/18/2015 and was last updated on 3/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryCALIFORNIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)300308BPCALIFORNIANo
3324500000XSubstance Abuse Rehabilitation Facility300308BPCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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