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417 RECOVERY
NPI 1649047242
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Mission Viejo, CA

Active since December 05, 2023CLIA 05D2045838 · Waiver
26010 ACERO STE 200, MISSION VIEJO, CA 92691(760) 485-6563 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About 417 Recovery NPPES

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

417 RECOVERY (NPI 1649047242) is a healthcare organization registered as a substance abuse treatment, children in Mission Viejo, California and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Stevie Kuhn, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649047242
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business Name417 ORANGE COUNTY LLC
Location Address26010 ACERO STE 200Mission Viejo, CA 92691-2768
Mailing Address1595 Grand Ave Ste 102San Marcos, CA 92078-2450 · (760) 485-6563
Phone(760) 485-6563
Organization SubpartNo
Authorized OfficialStevie KuhnCfo · (760) 485-6563
Enumeration DateDecember 5, 2023
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
✔ NPI 1649047242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
26010 ACERO STE 200, Mission Viejo, CA 92691
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Other Names 1

Doing Business As417 Recovery

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 05D2045838

449 Recovery · Mission Viejo, CA
Active · expires Aug 20, 2026
CLIA Number05D2045838
Laboratory TypeIntensive Outpatient Trea
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorAlejandro Alva
Laboratory Phone(855) 449-4490
Laboratory Location449 Recovery26010 Acero, Mission Viejo, CA 92691
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

417 SAN CLEMENTE, LLC
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
26010 ACERO STE 200
MISSION VIEJO, CA 92691
Orange County (949) 525-7977

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 417 Orange County LLC's NPI number?

The NPI number for 417 Orange County LLC is 1649047242. It was assigned to this organization in the NPPES registry on December 5, 2023.

Where is 417 Orange County LLC located?

417 Orange County LLC is located at 26010 Acero Ste 200, Mission Viejo, CA 92691. The listed phone number is (760) 485-6563.

What is 417 Orange County LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does 417 Orange County LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2045838) is associated with this NPI, valid through August 20, 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 417 Orange County LLC was last updated on December 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.