TRINITY NATIONWIDE RECOVERY INC (NPI# 1063078400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063078400 |
| Entity Type | Organization |
| Organization Name | TRINITY NATIONWIDE RECOVERY INC |
| Practice Address |
15814 Citrustree Rd Whittier CA 90603-2713 |
| Mailing Address |
11827 Lowemont St Norwalk CA 90650-6517 |
| Practice Telephone | 8448774648 |
| Practice Fax Number | 7143839109 |
| Mailing Telephone | 8448874648 |
| Mailing Fax Number | 5623839109 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | EDGAR ANTONIO VILLA (OWNER) |
| Authorized Official Telephone | 7145899228 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY NATIONWIDE RECOVERY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Trinity Recovery Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891351235 | Trinity Nationwide Recovery Inc | Community/Behavioral Health | 121 W Whittier Blvd Ste 210, La Habra, CA 90631-3893 | 2019-05-10 |
| 1275199614 | Trinity Nationwide Recovery Inc | Clinic/Center | 121 W Whittier Blvd Ste 210, La Habra, CA 90631-3893 | 2019-05-10 |
| Street Address |
15814 CITRUSTREE RD |
| City | WHITTIER |
| State | CA |
| Zip Code | 90603-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512858 | In2vison Programs LLC | Health Educator | 16131 Whittier Blvd, Suite 100, Whittier, CA 90603 | 2020-06-16 |
| 1255972717 | Omid Hamid Barkhordar Dental, Inc | Clinic/Center | 16461 Whittier Blvd., Whittier, CA 90603 | 2019-10-04 |
| 1124441746 | Nami H. Jun | Pharmacist | 9436 Portada Drive, Whitter, CA 90603 | 2014-02-03 |
| 1730520024 | Jamshid Azizzadeh | Dentist | 15030 Whittier Blvd. #106, Whittier, CA 90603 | 2013-07-15 |
| 1518239730 | Melissa Mejia | Physical Therapist | 16405 Whittier Boulevard, Whittier, CA 90603 | 2012-02-03 |
| 1053696005 | Will Max | Counselor | 10155 Colima Road, Whittier, CA 90603 | 2011-10-20 |
| 1215168588 | R.e. Mayer, D.d.s., P.C. | Dentist | 15141 E. Whittier Blvd., Suite 255, Whittier, CA 90603 | 2009-08-04 |
| 1487784096 | Cynthia Lee Schroder | Counselor | 10155 Colima Rd., Whittier, CA 90603 | 2007-03-06 |
| 1275679524 | Bach Trong Le | Dentist | 16157 E. Whittier Blvd, Whittier, CA 90603 | 2007-01-30 |
| 1710032958 | Brian Carroll Chung | Oral & Maxillofacial Surgery | 16315 E Whittier Blvd, #201, Whittier, CA 90603 | 2007-01-25 |
| Find all providers in zip 90603 | ||||
| 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 |
|---|---|---|---|---|
| 1316479280 | Divine Treatment Centers | Substance Abuse Rehabilitation Facility | 14462 Allegan St, Whittier, CA 90604-1837 | 2017-03-30 |
| 1992342745 | Trinity Marketing, Inc. | Substance Abuse Rehabilitation Facility | 11503 Gladhill Rd, Whittier, CA 90604-3202 | 2019-11-27 |
| 1487198461 | Southern California Alcohol and Drug Programs, Inc. | Substance Abuse Rehabilitation Facility | 10511 Mills Ave, Whittier, CA 90604-2440 | 2016-12-12 |
| 1982150645 | Los Angeles Centers for Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 14100 Glengyle St, Whittier, CA 90604-2434 | 2016-08-31 |
| 1851751622 | Jessica Annie Yniguez | Substance Abuse Rehabilitation Facility | 10511 Mills Ave, Whittier, CA 90604-1017 | 2016-03-07 |
| 1669811519 | Mayra Ivon Thrush | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2013-06-24 |
| 1285973222 | Antonio Ayala | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2013-02-12 |
| 1669711818 | Amy Smethrust | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2013-02-07 |
| 1558627513 | Josephine Wong | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2012-04-04 |
| 1467725721 | Gregory Thomas Lauderdale | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604 | 2012-02-17 |
| Find all providers in WHITTIER | ||||
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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.