MILESTONE DETOX, LLC (NPI# 1164888442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164888442 |
| Entity Type | Organization |
| Organization Name | MILESTONE DETOX, LLC |
| Practice Address |
31981 Calle Winona San Juan Capistrano CA 92675-3076 |
| Mailing Address |
1040 W 17th St Costa Mesa CA 92627-4503 |
| Practice Telephone | 9493448149 |
| Mailing Telephone | 9493884114 |
| Mailing Fax Number | 9492038540 |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | MR. SHAWN WHITT (CEO) |
| Authorized Official Telephone | 9493448149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831605047 | Milestone Detox, LLC | Rehabilitation, Substance Use Disorder Unit | 35440 Calle Nopal, Temecula, CA 92592-9434 | 2017-12-26 |
| Street Address |
31981 CALLE WINONA |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343583 | A Better Life Recovery LLC | Clinic/Center | 30310 Rancho Viejo Rd, San Juan Capistrano, CA 92675-1576 | 2018-07-23 |
| 1134515455 | Luminance Recovery Center | Clinic/Center | 27126b Paseo Espada # B, Suite 721, San Juan Capistrano, CA 92675-2721 | 2015-04-14 |
| 1023403037 | Faith By The Sea, Inc. | Clinic/Center | 27129 Calle Arroyo, Suite 1821, San Juan Capistrano, CA 92675-2764 | 2015-04-06 |
| 1528506862 | Luminance Health Group | Clinic/Center | 27126b Paseo Espada # B, Suite 623, San Juan Capistrano, CA 92675-2721 | 2017-02-07 |
| 1114376670 | Ablw LLC | Clinic/Center | 27126 Paseo Espada, Suite 1627, San Juan Capistrano, CA 92675-2721 | 2016-06-06 |
| 1932591484 | A Better Life Recovery LLC | Clinic/Center | 30300 Rancho Viejo Rd, San Juan Capistrano, CA 92675-1576 | 2015-02-20 |
| 1326337882 | Able To Change Recovery, Inc. | Clinic/Center | 31461 Rancho Viejo Rd, Suite 105, San Juan Capistrano, CA 92675-1864 | 2011-04-05 |
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| Find all providers with the same taxonomy | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
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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.