CAPO CANYON RECOVERY LLC (NPI# 1124560297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124560297 |
| Entity Type | Organization |
| Organization Name | CAPO CANYON RECOVERY LLC |
| Practice Address |
26991 El Ciervo Ln Mission Viejo CA 92691-6018 |
| Mailing Address |
Po Box 448 San Juan Capistrano CA 92693-0448 |
| Practice Telephone | 8008048714 |
| Mailing Telephone | 8008048714 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | SHONTE PERLUSS (FACILITY ADMINISTRATOR) |
| Authorized Official Telephone | 9492593052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 300359AP | CA | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23822 Stillwater Ln, Laguna Niguel, CA 926771706 | 8008048714 |
| Street Address |
26991 EL CIERVO LN |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| 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 |
|---|---|---|---|---|
| 1386257483 | Adango Health Center | Substance Abuse Rehabilitation Facility | 22751 Lajares, Mission Viejo, CA 92692-1335 | 2020-08-28 |
| 1023658200 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 24316 Via Madrugada, Mission Viejo, CA 92692-1910 | 2020-01-15 |
| 1790347995 | Sunshine Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 25542 Rhoda Dr, Mission Viejo, CA 92691-4669 | 2019-07-08 |
| 1316402225 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 26886 Pueblonuevo Dr, Mission Viejo, CA 92691-4410 | 2019-02-05 |
| 1124593371 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 24731 Via San Fernando, Mission Viejo, CA 92692-2431 | 2018-10-03 |
| 1437635786 | Southern Calfiornia Sunrise Recovery Center | Substance Abuse Rehabilitation Facility | 24522 Vanessa Dr, Mission Viejo, CA 92691-4672 | 2018-07-18 |
| 1891271144 | Southern California Sunrise Recovery Center | Substance Abuse Rehabilitation Facility | 25681 Sabina Ave, Mission Viejo, CA 92691-3914 | 2018-07-18 |
| 1801385620 | Laguna Shores Behavioral Health | Substance Abuse Rehabilitation Facility | 27381 Via Primero, Mission Viejo, CA 92692-1912 | 2018-05-07 |
| 1104330364 | Beachside Recovery Center LLC | Substance Abuse Rehabilitation Facility | 23671 Brasilia St, Mission Viejo, CA 92691-3047 | 2017-11-27 |
| 1801328505 | Hillside Mission | Substance Abuse Rehabilitation Facility | 23371 Rockrose, Mission Viejo, CA 92692-1686 | 2017-03-31 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on CAPO CANYON RECOVERY LLC.
| 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.