CASA RECOVERY INC. NPI 1477981447

NPI Information

NPI: 1477981447
Provider Name: CASA RECOVERY, INC.
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
CLIA Number: 05D2080629
Address: 31877 DEL OBISPO ST STE 104
SAN JUAN CAPISTRANO, CA
ZIP 92675
Phone: (888) 928-2272

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NPI Details

CASA RECOVERY, INC. is a rehabilitation and substance use disorder clinic center in San Juan Capistrano, CA. CASA RECOVERY, INC. NPI is 1477981447. The provider is registered as an organization entity type.

The provider's business location address is:

31877 DEL OBISPO ST STE 104
SAN JUAN CAPISTRANO, CA
ZIP 92675-209
Phone: (888) 928-2272
Fax: (949) 284-0574

The provider's authorized official is Debra Krishna Jessick .
The authorized official title is Executive Director and has the following contact phone number (949) 289-2752.

The CLIA number assigned to this NPI record is 05D2080629 - other - in patient residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 11/20/2018.

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	324500000X	Substance Abuse Rehabilitation Facility		300268AP	CALIFORNIA	No
2	261QM0850X	Clinic/Center	Adult Mental Health			No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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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