ADVANCE RECOVERY SOLUTION, LLC (NPI# 1083075030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083075030 |
| Entity Type | Organization |
| Organization Name | ADVANCE RECOVERY SOLUTION, LLC |
| Practice Address |
3744 N Hermosa Pl Fullerton CA 92835 |
| Mailing Address |
711 E Imperial Hwy Ste 201 Brea CA 92821-5601 |
| Practice Telephone | 9512120439 |
| Mailing Telephone | 9512120439 |
| Mailing Fax Number | 8887324879 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | MR. KEITH MILLER (CEO) |
| Authorized Official Telephone | 9512120439 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 711 E Imperial Hwy Ste 201, Brea, CA 92821 | 9512120439 | 8887324879 |
| Street Address |
3744 N HERMOSA PL |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| 1720427511 | John Marius Bodnar | Dentist | 2607 Taft Court, Fullerton, CA 92835 | 2013-06-14 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003435033 | Resurgence California, LLC | Substance Abuse Rehabilitation Facility | 158 Marion Blvd, Fullerton, CA 92835-3525 | 2020-04-09 |
| 1093268849 | Woodglen West Detox | Substance Abuse Rehabilitation Facility | 1401 W Orangethorpe Ave, Fullerton, CA 92833-4632 | 2016-07-28 |
| 1720249873 | The Sober Zone, Inc | Substance Abuse Rehabilitation Facility | 1308 W Porter Ave, Fullerton, CA 92833-4018 | 2008-06-20 |
| 1043397029 | Woodglen Recovery Junction | Substance Abuse Rehabilitation Facility | 751 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2006-11-01 |
| 1437244159 | Woodglen Recovery Junction Incorporated | Substance Abuse Rehabilitation Facility | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2006-10-04 |
| 1134205222 | Woodglen Recovery Junction | Substance Abuse Rehabilitation Facility | 329 E Commonwealth Ave, Fullerton, CA 92832-2016 | 2006-10-31 |
| 1558444901 | Callie Vitale | Substance Abuse Rehabilitation Facility | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2006-10-21 |
| 1831271386 | Carlos Antonio Isais | Substance Abuse Rehabilitation Facility | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2006-10-20 |
| 1851480016 | Georgina R Vitale-hansen | Substance Abuse Rehabilitation Facility | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2006-10-12 |
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| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.