DANA SHORES RECOVERY
NPI 1952174849
Substance Abuse Rehabilitation Facility in San Juan Capistrano, CA

Active since November 01, 2023CLIA 05D2341390 · Waiver
30971 SILVER LEAF DR, SAN JUAN CAPISTRANO, CA 92675(909) 213-8504 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dana Shores Recovery NPPES

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

DANA SHORES RECOVERY (NPI 1952174849) is a healthcare organization registered as a substance abuse rehabilitation facility in San Juan Capistrano, California and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Charles Hohman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952174849
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDANA SHORES RECOVERY
Location Address30971 SILVER LEAF DRSan Juan Capistrano, CA 92675-2952
Mailing Address30971 Silver Leaf DrSan Juan Capistrano, CA 92675-2952 · (909) 213-8504
Organization SubpartNo
Authorized OfficialCharles HohmanCeo · (949) 503-1705
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
NPI 1952174849 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.

30971 SILVER LEAF DR, San Juan Capistrano, CA 92675

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 05D2341390

Dana Shores Recovery · San Juan Capistrano, CA
Active · expires Mar 31, 2028
CLIA Number05D2341390
Laboratory TypeDrug & Alcohol Treatment
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorSanjai Thankachen
Laboratory Phone(949) 480-2020
Laboratory LocationDana Shores Recovery30971 Silver Leaf Dr, San Juan Capistrano, CA 92675
CLIA data matches this NPI record on: Address Name
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.

Licensed Vocational Nurse
30971 SILVER LEAF DR
SAN JUAN CAPISTRANO, CA 92675

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 Dana Shores Recovery's NPI number?

The NPI number for Dana Shores Recovery is 1952174849. It was assigned to this organization in the NPPES registry on November 1, 2023.

Where is Dana Shores Recovery located?

Dana Shores Recovery is located at 30971 Silver Leaf Dr, San Juan Capistrano, CA 92675. The listed phone number is (909) 213-8504.

What is Dana Shores Recovery's specialty?

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

Does Dana Shores Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2341390) is associated with this NPI, valid through March 31, 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 Dana Shores Recovery was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.