CASA CAPRI RECOVERY LLC (NPI# 1669005575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669005575 |
| Entity Type | Organization |
| Organization Name | CASA CAPRI RECOVERY LLC |
| Practice Address |
675 Governor St Costa Mesa CA 92627-2504 |
| Mailing Address |
4001 Westerly Pl Ste 110 Newport Beach CA 92660-2302 |
| Practice Telephone | 8777132669 |
| Mailing Telephone | 8777132669 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | IAN ROY (BILLING DIRECTOR) |
| Authorized Official Telephone | 9494466288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DHCS | 300326FP | 01 |
| Other Name | Type Code |
|---|---|
| Casa Capri | Doing Business As Name - Organization |
| Street Address |
675 GOVERNOR ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| 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 |
|---|---|---|---|---|
| 1538782198 | Asana Recovery | Substance Abuse Rehabilitation Facility | 3062 Johnson Ave, Costa Mesa, CA 92626-2819 | 2020-05-18 |
| 1720644602 | The Stephouse Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1601 Baker St, Costa Mesa, CA 92626-3701 | 2019-05-15 |
| 1689137689 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 1509 Orange Ave # A, Costa Mesa, CA 92627-3718 | 2019-04-08 |
| 1770046773 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 1509 Orange Ave # B, Costa Mesa, CA 92627-3718 | 2019-04-08 |
| 1740742840 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 317 Rochester St, Costa Mesa, CA 92627-3113 | 2019-04-05 |
| 1245791961 | National Therapeutic Services, Inc | Substance Abuse Rehabilitation Facility | 131 E Wilson St, Costa Mesa, CA 92627-9455 | 2019-03-26 |
| 1134680853 | National Therapeutic Services, Inc | Substance Abuse Rehabilitation Facility | 2417 Orange Ave, Costa Mesa, CA 92627-5102 | 2019-03-26 |
| 1598226219 | National Therapeutic Services, Inc | Substance Abuse Rehabilitation Facility | 321 Cabrillo St, Costa Mesa, CA 92627-3122 | 2019-03-26 |
| 1316408032 | National Therapeutic Services, Inc | Substance Abuse Rehabilitation Facility | 327 Cabrillo St, Costa Mesa, CA 92627-3123 | 2019-03-26 |
| 1104391127 | Windward Way Recovery LLC | Substance Abuse Rehabilitation Facility | 2136 Thurin St Unit A, Costa Mesa, CA 92627-6067 | 2018-10-05 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on CASA CAPRI 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.