SOBRIETY SERVICES, INC. (NPI# 1639359086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639359086 |
| Entity Type | Organization |
| Organization Name | SOBRIETY SERVICES, INC. |
| Other Organization Name | SOUTHCOAST RECOVERY |
| Practice Address |
31877 Del Obispo St Suite 104 San Juan Capistrano CA 92675-3233 |
| Mailing Address |
31877 Del Obispo St Suite 105 San Juan Capistrano CA 92675-3233 |
| Practice Telephone | 9492734200 |
| Practice Fax Number | 9494891189 |
| Mailing Telephone | 9492734200 |
| Mailing Fax Number | 9494880447 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | MR. DENNIS LARKIN (CEO) |
| Authorized Official Telephone | 9492734200 |
| Authorized Official Credential | CATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 30077AP | CA | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 300177AP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Southcoast Recovery | Doing Business As Name - Organization |
| Street Address |
31877 DEL OBISPO ST SUITE 104 |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245664127 | Casa Recovery, Inc. | Clinic/Center | 31877 Del Obispo St, Suite 104, San Juan Capistrano, CA 92675-3233 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| 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 |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1033731021 | Life Vessel Treatment and Recovery Peppertree, LLC | Substance Abuse Rehabilitation Facility | 31881 Peppertree Bnd, San Juan Capistrano, CA 92675-3940 | 2020-05-12 |
| 1538714746 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27124 Paseo Espada Ste 805, San Juan Capistrano, CA 92675-6787 | 2019-08-05 |
| 1093367930 | Sunshine Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 33762 Avenida Calita, San Juan Capistrano, CA 92675-4906 | 2019-07-11 |
| 1174188205 | New Leaf Detox and Treatment | Substance Abuse Rehabilitation Facility | 31961 Calle Reynalda, San Juan Capistrano, CA 92675-3166 | 2019-05-03 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1578070587 | Sobertec LLC | Substance Abuse Rehabilitation Facility | 33801 Via Cascada, San Juan Capistrano, CA 92675-5037 | 2017-12-29 |
| 1245744689 | The Recovery Pad, LLC | Substance Abuse Rehabilitation Facility | 31877 Del Obispo St Ste 209, San Juan Capistrano, CA 92675-3228 | 2017-11-21 |
| 1134631948 | Hope By The Sea | Substance Abuse Rehabilitation Facility | 33761 Via Cascada, San Juan Capistrano, CA 92675-5036 | 2017-11-02 |
| 1295267060 | Hope By The Sea | Substance Abuse Rehabilitation Facility | 31907 Del Obispo St, Unit B, San Juan Capistrano, CA 92675-3150 | 2017-03-31 |
| Find all providers in SAN JUAN CAPISTRANO | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
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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.