Healthcare Provider Details

I. General information

NPI: 1992622708
Provider Name (Legal Business Name): VILLA SERENA RECOVERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26126 OROVILLE PL
LAGUNA HILLS CA
92653-6315
US

IV. Provider business mailing address

26126 OROVILLE PL
LAGUNA HILLS CA
92653-6315
US

V. Phone/Fax

Practice location:
  • Phone: 818-639-7160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN BEECROFT
Title or Position: COO
Credential: MHA
Phone: 856-649-4598