CREST RECOVERY LLC (NPI# 1023658200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023658200 |
| Entity Type | Organization |
| Organization Name | CREST RECOVERY LLC |
| Other Organization Name | TRUVIDA RECOVERY |
| Practice Address |
24316 Via Madrugada Mission Viejo CA 92692-1910 |
| Mailing Address |
23726 Birtcher Dr Lake Forest CA 92630-1771 |
| Practice Telephone | 8332330091 |
| Practice Fax Number | 9496073118 |
| Mailing Telephone | 9496125097 |
| Mailing Fax Number | 9496073118 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | CEAIRA COFFIN (BILLING DIRECTOR) |
| Authorized Official Telephone | 8332330091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DHCS | 300351FP | 01 |
| Other Name | Type Code |
|---|---|
| TruVida Recovery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316402225 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 26886 Pueblonuevo Dr, Mission Viejo, CA 92691-4410 | 2019-02-05 |
| 1629543863 | Crest Recovery LLC | Clinic/Center | 23726 Birtcher Dr, Lake Forest, CA 92630-1771 | 2018-10-03 |
| 1962977108 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 26202 Buena Vista Ct, Laguna Hills, CA 92653-5620 | 2018-10-03 |
| 1124593371 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 24731 Via San Fernando, Mission Viejo, CA 92692-2431 | 2018-10-03 |
| 1235599879 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 29522 Via Valverde, Laguna Niguel, CA 92677-1868 | 2016-02-24 |
| Street Address |
24316 VIA MADRUGADA |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92692-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386177319 | Thomas David Clevenger | Respiratory Therapist, Registered | 27821 Barbate, Mission Viejo, CA 92692 | 2017-04-06 |
| 1679926349 | Advanced Behavioral Learning Environment | Behavioral Analyst | 24522 Aguirre, Mission Viejo, CA 92692 | 2016-07-19 |
| 1619216827 | Podiatry Hotline Inc | Clinic/Center | 20532 El Toro Rd Ste 111, Mission Viejo, CA 92692 | 2013-02-07 |
| 1609165356 | Shota Yamamoto | Radiology | 26161 Marguerite Pkwy Ste A, Mission Viejo, CA 92692 | 2011-04-04 |
| 1376842328 | Orange County Urogynecology, A Medical Corp. | Urology | 25108 Marguerite Pkwy, A-259, Mission Viego, CA 92692 | 2011-03-16 |
| 1528368180 | Jihad Naim Bayaa | Pharmacist | 26406 Lombardy Rd, Mission Viejo, CA 92692 | 2010-10-29 |
| 1588971162 | Emmanuel Angeles, D.d.s., Inc. | Dentist | 32065 Temecula Pkwy, #c, Temecula, CA 92692 | 2010-09-03 |
| 1063670768 | Mission Viejo Dental Associates | Clinic/Center | 25522 Marguerite Parkway, #100, Mission Viejo, CA 92692 | 2008-05-29 |
| 1205001435 | Moroni Chs Inc | Voluntary or Charitable | 21663 Paseo Casiano, Mission Viejo, CA 92692 | 2008-04-29 |
| 1730386988 | Turning Point Treatment Center | Substance Abuse Rehabilitation Facility | 23181 Tiagua Streer, Mission Viejo, CA 92692 | 2007-06-29 |
| Find all providers in zip 92692 | ||||
| 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 |
|---|---|---|---|---|
| 1386257483 | Adango Health Center | Substance Abuse Rehabilitation Facility | 22751 Lajares, Mission Viejo, CA 92692-1335 | 2020-08-28 |
| 1790347995 | Sunshine Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 25542 Rhoda Dr, Mission Viejo, CA 92691-4669 | 2019-07-08 |
| 1316402225 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 26886 Pueblonuevo Dr, Mission Viejo, CA 92691-4410 | 2019-02-05 |
| 1124593371 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 24731 Via San Fernando, Mission Viejo, CA 92692-2431 | 2018-10-03 |
| 1437635786 | Southern Calfiornia Sunrise Recovery Center | Substance Abuse Rehabilitation Facility | 24522 Vanessa Dr, Mission Viejo, CA 92691-4672 | 2018-07-18 |
| 1891271144 | Southern California Sunrise Recovery Center | Substance Abuse Rehabilitation Facility | 25681 Sabina Ave, Mission Viejo, CA 92691-3914 | 2018-07-18 |
| 1801385620 | Laguna Shores Behavioral Health | Substance Abuse Rehabilitation Facility | 27381 Via Primero, Mission Viejo, CA 92692-1912 | 2018-05-07 |
| 1104330364 | Beachside Recovery Center LLC | Substance Abuse Rehabilitation Facility | 23671 Brasilia St, Mission Viejo, CA 92691-3047 | 2017-11-27 |
| 1801328505 | Hillside Mission | Substance Abuse Rehabilitation Facility | 23371 Rockrose, Mission Viejo, CA 92692-1686 | 2017-03-31 |
| 1124560297 | Capo Canyon Recovery LLC | Substance Abuse Rehabilitation Facility | 26991 El Ciervo Ln, Mission Viejo, CA 92691-6018 | 2016-11-07 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92692 |
Please comment or provide details below to improve the information on CREST 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.