PAT MOORE DETOX, LLC
NPI 1245657873
Substance Abuse Rehabilitation Facility in Costa Mesa, CA

Q: What is Pat Moore Detox, LLC's NPI number?

The NPI number for Pat Moore Detox, LLC is 1245657873. It was assigned to this organization in the NPPES registry on March 20, 2014.

Q: What is Pat Moore Detox, LLC's specialty?

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

Active since March 20, 2014

536 HAMILTON ST, UNITS A, B AND C, COSTA MESA, CA 92627(949) 646-2830(949) 646-3028 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pat Moore Detox, Llc NPPES

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

PAT MOORE DETOX, LLC (NPI 1245657873) is a healthcare organization registered as a substance abuse rehabilitation facility in Costa Mesa, California and active in the NPI registry since March 2014. The organization lists Arel Meister-aldama, Owner, as its authorized official.

NPPES Registry Identity

NPI1245657873

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePAT MOORE DETOX, LLC

Location Address536 HAMILTON ST, UNITS A, B AND CCosta Mesa, CA 92627-2617

Mailing Address536 Hamilton St, Units A, B And CCosta Mesa, CA 92627-2617 · (949) 646-2830 · Fax (949) 646-3028

Phone(949) 646-2830

Fax(949) 646-3028

Organization SubpartYesParent: Sprout Health, Llc

Authorized OfficialArel Meister-aldamaOwner · (914) 960-0080

Enumeration DateMarch 20, 2014

✔ NPI 1245657873 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 · 300274AP

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.

536 HAMILTON ST, Costa Mesa, CA 92627

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMI JOHNSON LCSW

Rehabilitation Practitioner

536 HAMILTON ST
COSTA MESA, CA 92627

Orange County (844) 413-2976

PAT MOORE DETOX, LLC

Substance Abuse Rehabilitation Facility

536 HAMILTON ST, UNITS A,B,C
COSTA MESA, CA 92627

Orange County (714) 546-2200

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 Pat Moore Detox, LLC's NPI number?

The NPI number for Pat Moore Detox, LLC is 1245657873. It was assigned to this organization in the NPPES registry on March 20, 2014.

Where is Pat Moore Detox, LLC located?

Pat Moore Detox, LLC is located at 536 Hamilton St Units A, B And C, Costa Mesa, CA 92627. The listed phone number is (949) 646-2830.

What is Pat Moore Detox, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pat Moore Detox, LLC was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.