ELEVEN 11 RECOVERY LLC
NPI 1881336931
Clinic/Center - Rehabilitation, Substance Use Disorder in San Clemente, CA
About Eleven 11 Recovery Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELEVEN 11 RECOVERY LLC (NPI 1881336931), doing business as Eleven 11 Recovery, is a healthcare organization registered as a rehabilitation, substance use disorder in San Clemente, California and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Michael Jordan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 05D2317563
Eleven 11 Recovery LLC · San Clemente, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eleven 11 Recovery LLC's NPI number?
The NPI number for Eleven 11 Recovery LLC is 1881336931. It was assigned to this organization in the NPPES registry on April 10, 2022. The provider is doing business as Eleven 11 Recovery.
Where is Eleven 11 Recovery LLC located?
Eleven 11 Recovery LLC is located at 647 Camino De Los Mares Ste 221, San Clemente, CA 92673. The listed phone number is (949) 735-5167.
What is Eleven 11 Recovery LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Eleven 11 Recovery LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2317563) is associated with this NPI, valid through January 26, 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 Eleven 11 Recovery LLC was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Eleven 11 Recovery Llc · NPI 1881336931
Rehabilitation, Substance Use Disorder organization in San Clemente, California. Organization record, active in the CMS NPPES registry since April 10, 2022.
## Identity
- **NPI:** 1881336931 (Entity type: Organization)
- **Enumerated:** April 10, 2022
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** Eleven 11 Recovery (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Jordan, CEO
## Practice location
- **Address:** 647 CAMINO DE LOS MARES STE 221, San Clemente, CA 92673-2807
- **Phone:** (949) 735-5167
## Record status
- **NPPES last updated:** April 18, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881336931) · Data from the CMS NPPES public registry.