12 South LLC
NPI 1154789766 · Substance Abuse Rehabilitation Facility · Lake Forest, CA
12 South LLC is a Substance Abuse Rehabilitation Facility organization in Lake Forest, CA (NPI 1154789766).
Provider details
- NPI number
- 1154789766
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kyle Smith, Ceo/Owner(888) 830-8374
Specialties & taxonomies
Residential Treatment Facilities
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Other name
- 12 South Recovery
Registry dates
- Enumerated
- 2016-02-10
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Frequently asked questions
- What is 12 South LLC's NPI number?
- 12 South LLC's National Provider Identifier (NPI) is 1154789766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 12 South LLC?
- 12 South LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is 12 South LLC located?
- 12 South LLC's practice location on file with NPPES is 23712 Birtcher Drive, Lake Forest, CA 92630.
- What is 12 South LLC's phone number?
- The practice phone number listed in the NPPES registry for 12 South LLC is (888) 830-8374.
- Who is the authorized official for 12 South LLC?
- The authorized official listed on 12 South LLC's NPPES record is Kyle Smith, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 12 South LLC's NPI active?
- Yes — 12 South LLC's NPI (1154789766) is active in the NPPES registry as of the last update on 2022-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.