Provider Demographics
NPI:1922565522
Name:CALIFORNIA RECUPERATIVE CARE, INC
Entity Type:Organization
Organization Name:CALIFORNIA RECUPERATIVE CARE, INC
Other - Org Name:HOLA RECUPERATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-480-7829
Mailing Address - Street 1:38529 6TH ST. EAST
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550
Mailing Address - Country:US
Mailing Address - Phone:213-840-2356
Mailing Address - Fax:661-441-0985
Practice Address - Street 1:38535 6TH ST E
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-3715
Practice Address - Country:US
Practice Address - Phone:661-480-7829
Practice Address - Fax:661-424-7347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385H00000XRespite Care FacilityRespite Care
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care