Orange County Revive Services, Inc.

LBN: Orange County Revive Services, Inc.
Orange County Revive Services, Inc. is an health care organization with primary practice located at 23726 Birtcher Dr , Lake Forest CA 92630-1771. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Orange County Revive Services, Inc. can be contacted via phone (949) 606-4681, or through Michaelis, Tyler via phone (949) 606-4681.

Contact Information

Primary practice address
23726 Birtcher Dr Lake Forest CA 92630-1771
Phone: (949) 606-4681
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Michaelis, Tyler
Phone: (949) 606-4681

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1306543962
LBN Legal business name Orange County Revive Services, Inc.
DBA Doing business as
Authorized official Michaelis, Tyler
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 14th, 2023
Last updated Feb 14th, 2023 - about last year

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

Popular Providers