Provider Demographics
NPI:1063860534
Name:LAGUNA TREATMENT HOSPITAL, LLC
Entity Type:Organization
Organization Name:LAGUNA TREATMENT HOSPITAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM FACILITY CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAK
Authorized Official - Suffix:
Authorized Official - Credentials:RN MHA CHC LNCC
Authorized Official - Phone:949-446-0077
Mailing Address - Street 1:200 POWELL PL
Mailing Address - Street 2:ATTN: LEGAL DEPARTMENT
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7514
Mailing Address - Country:US
Mailing Address - Phone:615-732-1605
Mailing Address - Fax:
Practice Address - Street 1:24552 PACIFIC PARK DR
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656
Practice Address - Country:US
Practice Address - Phone:949-446-0090
Practice Address - Fax:949-315-3031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550003560283X00000X, 284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
No283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
591319OtherTHE JOINT COMMISSION