LEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC - NPI 1306472832 - Substance Abuse Rehabilitation Facility in Orange, CA

Q: What is Lead Recovery Transitional Living Center, LLC's specialty?

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

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About Lead Recovery Transitional Living Center, Llc NPPES

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

LEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC (NPI 1306472832) is a healthcare organization registered as a substance abuse rehabilitation facility in Orange, California and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Karina Nurmberg, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1306472832

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameLEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC

Location Address192 S CRAIG DROrange, CA 92869-3731

Mailing Address192 S Craig DrOrange, CA 92869-3731 · (949) 282-8016 · Fax (949) 666-8393

Phone(800) 380-0012

Fax(949) 666-8393

Organization SubpartNo

Authorized OfficialKarina NurmbergProgram Manager · (949) 282-8016

Enumeration DateMarch 16, 2020

Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2021

✔ NPI 1306472832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

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.

192 S CRAIG DR, Orange, CA 92869

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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 05D2237149

Lead Recovery Transitional Living Center, LLC · Orange, CA

Active · expires Sep 21, 2027

CLIA Number05D2237149

Laboratory TypeInpatient Dual Diagnosis

Certificate Effective DateSeptember 22, 2025

Certificate Expiration DateSeptember 21, 2027

Laboratory DirectorRaafat Girgis

Laboratory Phone(800) 380-0012

Laboratory LocationLead Recovery Transitional Living Center, LLC192 South Craig Drive, Orange, CA 92869

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 Lead Recovery Transitional Living Center, LLC's NPI number?

The NPI number for Lead Recovery Transitional Living Center, LLC is 1306472832. It was assigned to this organization in the NPPES registry on March 16, 2020.

Where is Lead Recovery Transitional Living Center, LLC located?

Lead Recovery Transitional Living Center, LLC is located at 192 S Craig Dr, Orange, CA 92869. The listed phone number is (800) 380-0012.

What is Lead Recovery Transitional Living Center, LLC's specialty?

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

Does Lead Recovery Transitional Living Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2237149) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lead Recovery Transitional Living Center, LLC was last updated on January 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.