Provider Demographics
NPI:1265018154
Name:CALMED RECOVERY, INC
Entity Type:Organization
Organization Name:CALMED RECOVERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:HEINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-319-2515
Mailing Address - Street 1:1450 DOMINGUEZ RANCH RD
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-7906
Mailing Address - Country:US
Mailing Address - Phone:909-319-2515
Mailing Address - Fax:
Practice Address - Street 1:1450 DOMINGUEZ RANCH RD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-7906
Practice Address - Country:US
Practice Address - Phone:909-319-2515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies