EXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC.
NPI 1316427446
Substance Abuse Rehabilitation Facility in Santa Ana, CA

Active since August 17, 2018
3921 W HAZARD AVE, SANTA ANA, CA 92703(800) 970-3973(855) 275-5428 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2024, Feb 13, 2021, Nov 26, 2019 and 2 more (5 updates tracked since 2018).

About Experience Recovery Detox & Residential Llc. NPPES

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

EXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC. (NPI 1316427446) is a healthcare organization registered as a substance abuse rehabilitation facility in Santa Ana, California and active in the NPI registry since August 2018. The organization lists James Sewell, Ceo, Jds Consuting, Inc, as its authorized official.

NPPES Registry Identity

NPI1316427446
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC.
Location Address3921 W HAZARD AVESanta Ana, CA 92703-2625
Mailing Address3919 W Hazard AveSanta Ana, CA 92703-2625 · (800) 870-3973 · Fax (855) 275-5428
Fax(855) 275-5428
Organization SubpartNo
Authorized OfficialJames SewellCeo, Jds Consuting, Inc · (402) 250-8989
Enumeration DateAugust 17, 2018
Last NPPES UpdateDecember 2, 20245 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
NPI 1316427446 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.
3921 W HAZARD AVE, Santa Ana, CA 92703

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 Experience Recovery Detox & Residential LLC.'s NPI number?

The NPI number for Experience Recovery Detox & Residential LLC. is 1316427446. It was assigned to this organization in the NPPES registry on August 17, 2018.

Where is Experience Recovery Detox & Residential LLC. located?

Experience Recovery Detox & Residential LLC. is located at 3921 W Hazard Ave, Santa Ana, CA 92703. The listed phone number is (800) 970-3973.

What is Experience Recovery Detox & Residential 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 Experience Recovery Detox & Residential LLC. was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.