CREST RECOVERY LLC NPI 1962977108

NPI Information

NPI: 1962977108
Provider Name: CREST RECOVERY LLC

Doing Business As: TRUVIDA RECOVERY

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

Address:
26202 BUENA VISTA CT
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 283-4679
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CREST RECOVERY LLC is a substance abuse rehabilitation facility in Laguna Hills, 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. CREST RECOVERY LLC NPI is 1962977108. The provider is registered as an organization entity type.
The provider Is Doing Business As Truvida Recovery.

The provider's business location address is:

26202 BUENA VISTA CT
LAGUNA HILLS, CA
ZIP 92653-620
Phone: (949) 283-4679

The provider's authorized official is Ceaira Coffin .
The authorized official title is Billing Director and has the following contact phone number (833) 233-0091.

The CLIA number assigned to this NPI record is 05D2183540 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2018 and was last updated on 4/8/2020.

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				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	300351CP	OTHER	CALIFORNIA	DHCS

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: 11/14/2023

NPI Synchronization or Removal

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