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RECOVERY HOMES OF AMERICA INC NPI 1962549295


NPI Information

NPI: 1962549295
Provider Name: RECOVERY HOMES OF AMERICA INC

Doing Business As: CORNERSTONE OF SOUTHERN CALIFORNIA

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

CLIA Number: 05D2085684

Address:
13671 ROSALIND DR
TUSTIN, CA
ZIP 92780
Phone: (714) 547-5375
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RECOVERY HOMES OF AMERICA INC is a substance abuse rehabilitation facility in Tustin, 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. RECOVERY HOMES OF AMERICA INC NPI is 1962549295. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Of Southern California.

The provider's business location address is:

13671 ROSALIND DR
TUSTIN, CA
ZIP 92780-924
Phone: (714) 547-5375
Fax: (714) 541-3320

The provider's authorized official is Samantha Stone .
The authorized official title is Exec Vice President and has the following contact phone number (714) 547-5375.

The CLIA number assigned to this NPI record is 05D2085684 - other - addiction treatment cente with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 2/19/2024.


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
1261QM0850XClinic/CenterAdult 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: 5/5/2024

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