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MIRAMAR HEALTH INC NPI 1528799665


NPI Information

NPI: 1528799665
Provider Name: MIRAMAR HEALTH INC

Doing Business As: CASA SANTA CRUZ

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2280119

Address:
24851 VIA SANTA CRUZ
MISSION VIEJO, CA
ZIP 92692
Phone: (949) 997-1548
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MIRAMAR HEALTH INC is a substance abuse rehabilitation facility in Mission Viejo, 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. MIRAMAR HEALTH INC NPI is 1528799665. The provider is registered as an organization entity type.
The provider Is Doing Business As Casa Santa Cruz.

The provider's business location address is:

24851 VIA SANTA CRUZ
MISSION VIEJO, CA
ZIP 92692-437
Phone: (949) 997-1548

The provider's authorized official is Tom Sauer .
The authorized official title is Owner and has the following contact phone number (425) 505-1394.

The CLIA number assigned to this NPI record is 05D2280119 - other - res. detox treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2022 and was last updated on 2/1/2024.


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
1324500000XSubstance 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: 5/5/2024

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