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CAPO CANYON RECOVERY LLC
NPI 1124560297
Substance Abuse Rehabilitation Facility in Mission Viejo, CA

Active since November 07, 2016CLIA 05D2121987 · Waiver
26991 EL CIERVO LN, MISSION VIEJO, CA 92691(800) 804-8714 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2020, Nov 27, 2019, Nov 7, 2016 (3 updates tracked since 2016).

About Capo Canyon Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPO CANYON RECOVERY LLC (NPI 1124560297) is a healthcare organization registered as a substance abuse rehabilitation facility in Mission Viejo, California and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through November 16, 2026, maintains a secondary practice location in Laguna Niguel, and lists Shonte Perluss, Facility Administrator, as its authorized official.

NPPES Registry Identity

NPI1124560297
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCAPO CANYON RECOVERY LLC
Location Address26991 EL CIERVO LNMission Viejo, CA 92691-6018
Mailing AddressPo Box 448San Juan Capistrano, CA 92693-0448 · (800) 804-8714
Phone(800) 804-8714
Organization SubpartNo
Authorized OfficialShonte PerlussFacility Administrator · (949) 259-3052
Enumeration DateNovember 7, 2016
Last NPPES UpdateMay 26, 20203 updates tracked since enumeration
NPPES CertifiedMay 26, 2020
✔ NPI 1124560297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 300359AP
Definition
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.
26991 EL CIERVO LN, Mission Viejo, CA 92691
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Secondary Practice Location 1

Location 123822 Stillwater LnLaguna Niguel, CA 92677-1706 · Phone (800) 804-8714

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2121987

Capo Canyon Recovery · Mission Viejo, CA
Active · expires Nov 16, 2026
CLIA Number05D2121987
Laboratory TypeResidentail Treatment Fac
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorRandall Turner
Laboratory Phone(800) 804-8714
Laboratory LocationCapo Canyon Recovery26991 El Ciervo Ln, Mission Viejo, CA 92691
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Capo Canyon Recovery LLC's NPI number?

The NPI number for Capo Canyon Recovery LLC is 1124560297. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Capo Canyon Recovery LLC located?

Capo Canyon Recovery LLC is located at 26991 El Ciervo Ln, Mission Viejo, CA 92691. The listed phone number is (800) 804-8714.

What is Capo Canyon Recovery LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Capo Canyon Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2121987) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Capo Canyon Recovery LLC was last updated on May 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.