PACIFIC CARE RECOVERY CENTER


Address: 6920 Victoria Ave, #19, Highland, CA 92346-2971
Phone: 5624817100

PACIFIC CARE RECOVERY CENTER (NPI# 1710355847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710355847
Entity Type Organization
Organization Name PACIFIC CARE RECOVERY CENTER
Practice Address 6920 Victoria Ave
#19
Highland
CA 92346-2971
Practice Telephone 5624817100
Enumeration Date 2015-09-06
Last Update Date 2015-09-06
Authorized Official Name MS. THORIYA NAKOULA (DIRECTOR)
Authorized Official Telephone 5624817100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 6920 VICTORIA AVE
#19
City HIGHLAND
State CA
Zip Code 92346-2971

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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1710204441 Illume Center, Inc Substance Abuse Rehabilitation Facility 6280 W 9600 N, Highland, UT 84003-9234 2010-04-20
1841832920 Chosen Highland LLC Substance Abuse Rehabilitation Facility 9630 5th St, Highland, IN 46322-2949 2019-10-10

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1376140384 Magic House Recovery Inc Substance Abuse Rehabilitation Facility 1001 S Mountvale Ct, Anaheim, CA 92808-2108 2020-10-02
1942807060 New Perceptions North, LLC Substance Abuse Rehabilitation Facility 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 2020-10-01
1346857679 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 3480 Hidden Trail Dr, Jamul, CA 91935-2104 2020-09-30
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Competitor

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City HIGHLAND
Zip Code 92346

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Dataset Information

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.

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