Oc Revive

LBN: Orange County Revive Services, Inc.
Oc Revive is an health care organization with primary practice located at 24432 Muirlands Blvd Ste 221 , Lake Forest CA 92630-3951. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Orange County Revive Services, Inc. can be contacted via phone (949) 510-3358, or through Michaelis, Tyler via phone (949) 606-4681.

Contact Information

Primary practice address
24432 Muirlands Blvd Ste 221 Lake Forest CA 92630-3951
Phone: (949) 510-3358
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Michaelis, Tyler
Phone: (949) 606-4681

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1508333477
LBN Legal business name Orange County Revive Services, Inc.
DBA Doing business as Oc Revive
Authorized official Michaelis, Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2018
Last updated Sep 30th, 2019 - about 5 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.

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