IMS SERVICES LLC NPI 1336717131

NPI Information

NPI: 1336717131
Provider Name: IMS SERVICES LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2234068

Address:
24832 LA PAZ AVE
SUITE A
DANA POINT, CA
ZIP 92629
Phone: (949) 359-5669
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IMS SERVICES LLC is a substance abuse rehabilitation facility in Dana Point, 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. IMS SERVICES LLC NPI is 1336717131. The provider is registered as an organization entity type.

The provider's business location address is:

24832 LA PAZ AVE
SUITE A
DANA POINT, CA
ZIP 92629
Phone: (949) 359-5669

The provider's authorized official is Diana Downey .
The authorized official title is Manager and has the following contact phone number (949) 359-5663.

The CLIA number assigned to this NPI record is 05D2234068 - other - residential facility with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/16/2021 and was last updated on 10/24/2023.

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
1	291U00000X	Clinical Medical Laboratory				No
2	324500000X	Substance Abuse Rehabilitation Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05D2234068	OTHER	CALIFORNIA	CLIA
2	300399AP	OTHER	CALIFORNIA	STATE OF CA DEPARTMENT OF HEALTH CARE SERVICES

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: 4/28/2024

NPI Synchronization or Removal

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