OrganizationActive
Revive Recovery Center LLC
NPI 1124796263 · Substance Abuse Rehabilitation Facility · Mission Viejo, CA
Provider details
- NPI number
- 1124796263
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rebecca Harris, Accountant(949) 467-4324
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23361 Madero Ste 200
Mission Viejo, CA 92691-7952
Phone: (949) 467-4324
Street-level locationGet directions
Mailing address
23361 Madero Ste 200
Mission Viejo, CA 92691-7952
Registry dates
- Enumerated
- 2021-09-02
- Last updated
- 2021-09-02
- Certified
- 2021-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.