REBEL NEW LIFE TREATMENT CENTER, LLC. (NPI# 1639719131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639719131 |
| Entity Type | Organization |
| Organization Name | REBEL NEW LIFE TREATMENT CENTER, LLC. |
| Practice Address |
2309 E Sycamore St Anaheim CA 92806-3020 |
| Practice Telephone | 7145076867 |
| Mailing Telephone | 7145076867 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | TRICIA PEREZ (CFO) |
| Authorized Official Telephone | 7145076867 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
2309 E SYCAMORE ST |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| 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 |
|---|---|---|---|---|
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1245895192 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 320a N Wilshire Ave, Anaheim, CA 92801-5825 | 2019-05-07 |
| 1134784085 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 320b N Wilshire Ave, Anaheim, CA 92801-5825 | 2019-05-07 |
| 1285194167 | It's Time To Recover, Inc. | Substance Abuse Rehabilitation Facility | 1135 W. North St, Anaheim, CA 92801-4393 | 2019-03-25 |
| 1942766944 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1300 W Pearl St, Anaheim, CA 92801-5937 | 2019-02-14 |
| 1285199778 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1243 W Pearl St, Anaheim, CA 92801-5936 | 2019-02-08 |
| 1275098766 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1253 W Pearl St, Anaheim, CA 92801-5936 | 2019-02-08 |
| 1356806848 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1243 1/2 W Pearl St, Anaheim, CA 92801-5936 | 2019-02-08 |
| 1396211900 | Imagine Recovery Group | Substance Abuse Rehabilitation Facility | 1247 N Lakeview Ave Ste A, Anaheim, CA 92807-1833 | 2018-10-22 |
| 1295241719 | Rebel Recovery Center | Substance Abuse Rehabilitation Facility | 2029 W Chateau Ave, Anaheim, CA 92804-4410 | 2017-12-20 |
| Find all providers in ANAHEIM | ||||
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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.