Provider Demographics
NPI:1285025684
Name:HIRED POWER TRANSITIONAL LIVING CENTER, LLC
Entity Type:Organization
Organization Name:HIRED POWER TRANSITIONAL LIVING CENTER, LLC
Other - Org Name:LEAD RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUMWALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-964-6730
Mailing Address - Street 1:21062 BROOKHURST ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-7404
Mailing Address - Country:US
Mailing Address - Phone:714-964-6730
Mailing Address - Fax:714-964-4382
Practice Address - Street 1:3151 AIRWAY AVE STE F107
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4623
Practice Address - Country:US
Practice Address - Phone:714-964-6730
Practice Address - Fax:714-964-4382
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:Z INC TREATMENT & EDUCATIONAL RESOURCES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-07
Last Update Date:2015-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No251B00000XAgenciesCase Management