CREST RECOVERY LLC (NPI# 1235599879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235599879 |
| Entity Type | Organization |
| Organization Name | CREST RECOVERY LLC |
| Other Organization Name | TRUVIDA RECOVERY |
| Practice Address |
29522 Via Valverde Laguna Niguel CA 92677-1868 |
| Mailing Address |
45 Timberland Aliso Viejo CA 92656-2108 |
| Practice Telephone | 9492834679 |
| Mailing Telephone | 9492834679 |
| Enumeration Date | 2016-02-24 |
| 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 | 300351AP | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DHCS | 300351AP | 01 |
| Other Name | Type Code |
|---|---|
| TruVida Recovery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658200 | Crest Recovery LLC | Substance Abuse Rehabilitation Facility | 24316 Via Madrugada, Mission Viejo, CA 92692-1910 | 2020-01-15 |
| 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 |
| Street Address |
29522 VIA VALVERDE |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| 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 |
|---|---|---|---|---|
| 1447802202 | Jbw Associates | Substance Abuse Rehabilitation Facility | 28812 Aloma Ave, Laguna Niguel, CA 92677-1405 | 2019-07-11 |
| 1801356993 | Rise Up Recovery Inc. | Substance Abuse Rehabilitation Facility | 61 Mallorca, Laguna Niguel, CA 92677-5625 | 2019-03-23 |
| 1497262406 | Sobertec LLC | Substance Abuse Rehabilitation Facility | 31472 Isle Vis, Laguna Niguel, CA 92677-2767 | 2017-12-29 |
| 1316462575 | Beach City Treatment, LLC | Substance Abuse Rehabilitation Facility | 30461 Puerto Vallarta Dr, Laguna Niguel, CA 92677-2480 | 2017-08-09 |
| 1174058713 | Luminance Health Group, Inc. | Substance Abuse Rehabilitation Facility | 27686 Manor Hill Rd, Laguna Niguel, CA 92677-6045 | 2017-04-20 |
| 1962936757 | Luminance Health Group, Inc. | Substance Abuse Rehabilitation Facility | 29422 Clipper Way, Laguna Niguel, CA 92677-4621 | 2017-04-18 |
| 1376093237 | Southern California Sunrise Recovery Center | Substance Abuse Rehabilitation Facility | 30471 Via Alcazar Ave, Laguna Niguel, CA 92677-2137 | 2016-10-04 |
| 1275999096 | Realign Detox, LLC | Substance Abuse Rehabilitation Facility | 29552 Crown Crk, Laguna Niguel, CA 92677-7803 | 2016-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 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 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
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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.