New Life Spirit Recovery, Inc.

LBN: New Life Spirit Recovery, Inc.
New Life Spirit Recovery, Inc. is an health care organization with primary practice located at 18652 Florida St Suite 200, Huntington Beach CA 92648-1924. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. New Life Spirit Recovery, Inc. can be contacted via phone (714) 841-1906, or through Tucker, Robert via phone (714) 841-1906.

Contact Information

Primary practice address
18652 Florida St Suite 200 Huntington Beach CA 92648-1924
Phone: (714) 841-1906
Fax: (714) 908-3308
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Robert MCA, MRAS, MDAAC
Phone: (714) 841-1906

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 300190AP California
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 300190AP California

Profile Details

NPI number 1508130808
LBN Legal business name New Life Spirit Recovery, Inc.
DBA Doing business as
Authorized official Tucker, Robert MCA, MRAS, MDAAC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2012
Last updated Jan 20th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508130808 NPPES
California Other 300190AP DHCS - DEPARTMENT OF HEALTH CARE SERVICES

Popular Providers