Sanctuary Of Transformation Llc

LBN: Sanctuary Of Transformation Llc
Sanctuary Of Transformation Llc is an health care organization with primary practice located at 24381 Spartan St , Mission Viejo CA 92691. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Sanctuary Of Transformation Llc can be contacted via phone (949) 215-6602, or through Bautista, Don via phone (949) 439-3640.

Contact Information

Primary practice address
24381 Spartan St Mission Viejo CA 92691
Phone: (949) 215-6602
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bautista, Don
Phone: (949) 439-3640

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 300008AP California

Profile Details

NPI number 1194233825
LBN Legal business name Sanctuary Of Transformation Llc
DBA Doing business as
Authorized official Bautista, Don
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2018
Last updated Jan 26th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194233825 NPPES
California Other 300008AP DHCS CERTIFICATION

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