HEALTHY LIFE RECOVERY INC. (NPI# 1649757527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649757527 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIFE RECOVERY INC. |
| Practice Address |
4747 Mission Blvd Ste 6 San Diego CA 92109-2541 |
| Mailing Address |
927 Missouri St San Diego CA 92109-2513 |
| Practice Telephone | 8588885332 |
| Mailing Telephone | 8588885332 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | RYAN WITT (CFO) |
| Authorized Official Telephone | 8588885332 |
| 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 |
| Street Address |
4747 MISSION BLVD STE 6 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184137846 | Robert W Buechel Dc Chiropractic Corp | Chiropractor | 4747 Mission Blvd Ste 6, San Diego, CA 92109-2541 | 2017-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898473 | Abc Sober Living | Clinic/Center | 2123 Garnet Ave, San Diego, CA 92109-3663 | 2019-12-20 |
| 1477115525 | Lifemark Solutions LLC | Clinic/Center | 3065 Rosecrans Pl Ste 202, San Diego, CA 92110-4822 | 2019-06-28 |
| 1497230429 | Ethridge Recovery Center | Clinic/Center | 405 63rd St, San Diego, CA 92114-4237 | 2018-09-25 |
| 1023595519 | Holistix Treatment Centers LLC | Clinic/Center | 6310 Alvarado Ct, San Diego, CA 92120-4902 | 2018-07-26 |
| 1386148625 | Sober Life Recovery Solutions LLC | Clinic/Center | 1446 Front St Ste 400, San Diego, CA 92101-3425 | 2018-03-21 |
| 1124539960 | Crash, Inc. | Clinic/Center | 835 25th St, San Diego, CA 92102-2738 | 2017-10-19 |
| 1538611165 | The Betty Ford Center At San Diego | Clinic/Center | 11720 El Camino Real, Suite 200, San Diego, CA 92130-2224 | 2016-10-31 |
| 1730552084 | San Diego Student Recovery, LLC | Clinic/Center | 5440 Morehouse Dr Ste 4500, San Diego, CA 92121-6724 | 2015-11-09 |
| 1841699352 | Community Behavioral Health Solutions, Inc | Clinic/Center | 7071 Consolidated Way, San Diego, CA 92121 | 2014-08-20 |
| 1700989829 | San Diego Health Alliance | Clinic/Center | 7545 Metropolitan Dr, San Diego, CA 92108-4402 | 2006-09-06 |
| Find all providers in SAN DIEGO | ||||
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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.