ORANGE COUNTY REVIVE SERVICES INC. NPI 1508333477

NPI Information

  • NPI: 1508333477
  • Provider Name: ORANGE COUNTY REVIVE SERVICES, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: OC REVIVE
  • Address: 24432 MUIRLANDS BLVD STE 221
    LAKE FOREST, CA
    ZIP 92630
  • Phone: (949) 510-3358

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NPI Details

ORANGE COUNTY REVIVE SERVICES, INC. is a substance abuse rehabilitation facility in Lake Forest, 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. ORANGE COUNTY REVIVE SERVICES, INC. NPI is 1508333477. The provider is registered as an organization entity type.
The provider Is Doing Business As Oc Revive.

The provider's business location address is:

24432 MUIRLANDS BLVD STE 221
LAKE FOREST, CA
ZIP 92630-951
Phone: (949) 510-3358

The provider's authorized official is Tyler Michaelis .
The authorized official title is Ceo and has the following contact phone number (949) 606-4681.

The enumeration date for this NPI number is 10/30/2018 and was last updated on 9/30/2019.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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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