MEDICARE: CHELSEA MANOR RECOVERY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1851243588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHELSEA MANOR RECOVERY

Provider Business Mailing Address
First Line	:	14511 FRANKLIN AVE STE 200
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-7249
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	380 N CHANDLER RANCH RD
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92869-4502
Country	:	US
Telephone Number	:	714-426-2205
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALTON HARDING
Credential	:
Telephone Number	:	661-803-1723

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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