CLEAN PATH RECOVERY, LLC (NPI# 1043629173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043629173 |
| Entity Type | Organization |
| Organization Name | CLEAN PATH RECOVERY, LLC |
| Other Organization Name | CLEAN PATH BEHAVIORAL HEALTH |
| Practice Address |
2265 Pomona Ave Unit A Costa Mesa CA 92627-2938 |
| Mailing Address |
Po Box 3211 Newport Beach CA 92659-0855 |
| Practice Telephone | 9497347432 |
| Mailing Telephone | 9497347432 |
| Mailing Fax Number | 9492091884 |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2018-03-22 |
| Authorized Official Name | MR. LEE HEILIGMAN (CEO) |
| Authorized Official Telephone | 9497347432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Clean Path Behavioral Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1650 Adams Ave, Costa Mesa, CA 926264958 | 9497347432 | |
| 2265 Pomona Ave Apt B, Costa Mesa, CA 926272938 | 9497347432 | |
| 2267 Pomona Ave Apt B, Costa Mesa, CA 926272938 | 9497347432 | |
| 2267 Pomona Ave Unit A, Costa Mesa, CA 926272938 | 9497347432 | |
| 2272 Pamela Ln # Abc, Costa Mesa, CA 926272903 | 9497347432 | |
| 2275 Pomona Ave Unit A, Costa Mesa, CA 926272938 | 9497347432 | |
| 2275 Pomona Ave Unit B, Costa Mesa, CA 926272938 | 9497347432 | |
| 2277 Pomona Ave Unit A, Costa Mesa, CA 926272938 | 9497347432 | |
| 2277 Pomona Ave Unit B, Costa Mesa, CA 926272938 | 9497347432 | |
| 2869 Mendoza Dr # Abcd, Costa Mesa, CA 926264266 | 9497347432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784319 | Clean Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 929 S Townsend St, Santa Ana, CA 92704-2925 | 2020-06-08 |
| 1578067625 | Clean Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 2201 Kilson Dr, Santa Ana, CA 92707-2918 | 2018-03-22 |
| Street Address |
2265 POMONA AVE UNIT A |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1194222547 | Olive Crest | Community/Behavioral Health | 275 Victoria St Ste 2m, Costa Mesa, CA 92627-1906 | 2018-04-11 |
| 1437665130 | Partnership for Education & Professional Development | Community/Behavioral Health | 2915 Red Hill Ave Ste C102, Costa Mesa, CA 92626-5930 | 2017-12-18 |
| 1295253300 | Center for Human Potential LLC | Community/Behavioral Health | 3151 Airway Ave Ste P3, Costa Mesa, CA 92626-4626 | 2017-09-08 |
| 1508256652 | Telcare Corporation | Community/Behavioral Health | 275 Baker St E Ste A, Costa Mesa, CA 92626-4566 | 2015-01-28 |
| 1265794986 | Behavior Functions, Inc | Community/Behavioral Health | 3303 Harbor Blvd Ste B9, Costa Mesa, CA 92626 | 2012-06-08 |
| 1467718650 | Creative Family Coaching Inc. | Community/Behavioral Health | 2111 Orange Ave, B, Costa Mesa, CA 92627-1848 | 2012-04-02 |
| 1689804874 | South Coast Children's Society, Inc. | Community/Behavioral Health | 3344 Nevada Ave, Costa Mesa, CA 92626-2022 | 2009-07-22 |
| 1518110246 | Lifelines Counseling & Family Services, Inc. | Community/Behavioral Health | 3001 Red Hill Ave, #1-216, Costa Mesa, CA 92626-4529 | 2008-10-28 |
| 1770089070 | Thrive Counseling and Conciliation | Community/Behavioral Health | 1625 White Oak St, Costa Mesa, CA 92626-3724 | 2018-04-04 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on CLEAN PATH RECOVERY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.