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FIRST LIGHT RECOVERY, LLC
NPI 1730556242
Community Based Residential Treatment Facility, Mental Illness in San Juan Capistrano, CA

Active since September 01, 2015CLIA 05D2347660 · Waiver
31211 CASA GRANDE DR, SAN JUAN CAPISTRANO, CA 92675(949) 326-3658(833) 460-4357 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 26, 2026, Aug 10, 2022, May 21, 2021 and 2 more (5 updates tracked since 2017).

About First Light Recovery, Llc NPPES

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

FIRST LIGHT RECOVERY, LLC (NPI 1730556242) is a healthcare organization registered as a community based residential treatment facility, mental illness in San Juan Capistrano, California and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through July 21, 2028, maintains 2 additional practice locations, and lists Neal Patel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730556242
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameFIRST LIGHT RECOVERY, LLC
Location Address31211 CASA GRANDE DRSan Juan Capistrano, CA 92675-1824
Mailing Address31211 Casa Grande DrSan Juan Capistrano, CA 92675-1824 · (949) 326-3658 · Fax (833) 460-4357
Phone(949) 326-3658
Fax(833) 460-4357
Organization SubpartNo
Authorized OfficialNeal PatelCeo · (407) 616-8872
Enumeration DateSeptember 1, 2015
Last NPPES UpdateMarch 26, 20265 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1730556242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
31211 CASA GRANDE DR, San Juan Capistrano, CA 92675
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Secondary Practice Locations 2

Location 124642 Argus DrMission Viejo, CA 92691-4610 · Phone (949) 326-3658 · Fax (833) 460-4357
Location 227732 Paseo BaronaSan Juan Capistrano, CA 92675-2850 · Phone (949) 326-3658 · Fax (833) 460-4357

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 05D2347660

First Light Recovery LLC · Mission Viejo, CA
Active · expires Jul 21, 2028
CLIA Number05D2347660
Laboratory TypePublic Health Laboratories
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorRandall Turner
Laboratory Phone(407) 616-8872
Laboratory LocationFirst Light Recovery LLC24642 Argus Dr, 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 First Light Recovery, LLC's NPI number?

The NPI number for First Light Recovery, LLC is 1730556242. It was assigned to this organization in the NPPES registry on September 1, 2015.

Where is First Light Recovery, LLC located?

First Light Recovery, LLC is located at 31211 Casa Grande Dr, San Juan Capistrano, CA 92675. The listed phone number is (949) 326-3658.

What is First Light Recovery, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does First Light Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2347660) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for First Light Recovery, LLC was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.