CREATE HOPE RECOVERY (NPI# 1629545678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629545678 |
| Entity Type | Organization |
| Organization Name | CREATE HOPE RECOVERY |
| Other Organization Name | SUBLIME WELLNESS CENTER |
| Practice Address |
1231 W Saint Gertrude Pl Santa Ana CA 92707-3132 |
| Mailing Address |
2414 S Fairview St Ste 215 Santa Ana CA 92704-5318 |
| Practice Telephone | 7145874193 |
| Mailing Telephone | 8882358353 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-09-14 |
| Authorized Official Name | MIKE PRIESING (OWNER) |
| Authorized Official Telephone | 6573420265 |
| Is Organization Subpart | Y |
| Parent Organization Name | SURF CITY SOLUTIONS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Create Hope Recovery | Doing Business As Name - Organization |
| CREO SPERO | Doing Business As Name - Organization |
| Sublime Wellness Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2414 S Fairview St Ste 201, Santa Ana, CA 927045344 | 7145874193 | |
| 2414 S Fairview St Ste 215, Santa Ana, CA 927045318 | 7145874193 | |
| 2414 S Fairview St Ste 215, Santa Ana, CA 927045318 | 8882358353 | 7143988822 |
| Street Address |
1231 W SAINT GERTRUDE PL |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92707-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831743301 | Nestor Carcache | Marriage & Family Therapist | 2201 Kilson Ave, Santa Ana, CA 92707 | 2019-08-01 |
| 1184113292 | Ma Nehemiah Valencia Galindo | Nurse Practitioner | 201 E. Sandpointe Ave, Suite 600, Santa Ana, CA 92707 | 2018-05-03 |
| 1780089565 | Raymond Nambar | Registered Nurse | 1030 W. Warner Ave., Santa Ana, CA 92707 | 2014-10-23 |
| 1366733073 | Yellowstone Women's First Step House, Inc. | Substance Abuse Rehabilitation Facility | 1621 Indus Street, Santa Ana Heights, CA 92707 | 2011-04-28 |
| 1972809051 | American Logistics Company, LLC | Transportation Broker | 530 W Dyer Rd, Santa Ana, CA 92707 | 2011-02-07 |
| 1972807022 | Faraz Valaie | Pediatrics | 15 Macarthur Place, #601, Santa Ana, CA 92707 | 2011-01-04 |
| 1073815353 | Alicia Tokunaga | Physician Assistant | 2621 S Bristol St #203, Santa Ana, CA 92707 | 2010-11-18 |
| 1518279017 | Laura Reynoso | Case Manager/Care Coordinator | 2416 S Main St., Santa Ana, CA 92707 | 2010-07-13 |
| 1477705671 | Vanessa E. Carmona | Counselor | 2416 S. Main St, Suite B, Santa Ana, CA 92707 | 2008-10-21 |
| 1144379785 | Community Dental Services | Dentist | 2 Macarthur Place, Santa Ana, CA 92707 | 2007-01-10 |
| Find all providers in zip 92707 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1346747235 | Jds Consulting, Inc. | Clinic/Center | 1651 E 4th St Ste 120, Santa Ana, CA 92701-5141 | 2018-04-09 |
| 1023565579 | American Addiction Institute of Mind and Medicine | Clinic/Center | 1533 E 4th St, Santa Ana, CA 92701-5115 | 2016-09-01 |
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| 1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
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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.