BEACHSIDE RECOVERY LLC


Address: 1340 N Custer St, Santa Ana, CA 92701-2506
Phone: 9493934070

BEACHSIDE RECOVERY LLC (NPI# 1578063004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578063004
Entity Type Organization
Organization Name BEACHSIDE RECOVERY LLC
Practice Address 1340 N Custer St
Santa Ana
CA 92701-2506
Mailing Address Po Box 511330
Los Angeles
CA 90051-7885
Practice Telephone 9493934070
Enumeration Date 2018-02-21
Last Update Date 2018-02-21
Authorized Official Name PATRICK SMITH (CEO)
Authorized Official Telephone 9493934070
Is Organization Subpart Y
Parent Organization Name BEACHSIDE RECOVERY LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 300315IP CA Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093223877 Beachside Recovery LLC Substance Abuse Rehabilitation Facility 12668 Greenwald Ln, Santa Ana, CA 92705-1498 2018-01-16
1699283556 Beachside Recovery LLC Substance Abuse Rehabilitation Facility 1332 N Custer St, Santa Ana, CA 92701-2506 2018-01-12
1053829911 Beachside Recovery LLC Substance Abuse Rehabilitation Facility 3610 S Van Ness Ave, Santa Ana, CA 92707-4815 2018-01-12
1962880914 Beachside Recovery LLC Substance Abuse Rehabilitation Facility 24662 Santa Clara Ave, Dana Point, CA 92629-3026 2015-05-11

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names BEACHSIDE RECOVERY LLC 16812 Red Hill Avenue #a, Irvine, CA 92606

Office Location

Street Address 1340 N CUSTER ST
City SANTA ANA
State CA
Zip Code 92701-2506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841807401 Midori K Dirig Psychologist 405 W. 3rd Street, Santa Ana, CA 92701 2020-09-28
1952915456 Alexandria Bekele Counselor Address: 405 W. 5th Street, Santa Ana, CA 92701 2020-09-02
1508479239 Candice Bjorkman Counselor 1201 E Fruit St, Santa Ana, CA 92701 2020-08-24
1013527365 Maryiam Elizabeth Barkho Dentist 809 South Main Street Suite B, Santa Ana, CA 92701 2020-08-02
1447803788 Emmett Eugene Cook II Counselor 1207 E Fruit Street, Santa Ana, CA 92701 2019-07-16
1619538741 Emily H Sanders Marriage & Family Therapist 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 2019-06-28
1184191769 Peace of Mind Wellness & Family Counseling, Inc. Counselor 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 2018-10-31
1841765815 Kelly Marie Contreras Clinical Medical Laboratory 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 2018-10-05
1780176537 Diane Carol Navarro-prescott Counselor 1633 East 4th Street, Santa Ana, CA 92701 2018-06-06
1750873758 Eileen Fernandez Counselor 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 2018-06-05
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

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
1255961199 Ca Ya Services Lls Substance Abuse Rehabilitation Facility 9951 Highcliff Dr, Santa Ana, CA 92705-1544 2020-01-20
1508428178 Ca Ya Services LLC Substance Abuse Rehabilitation Facility 10022 Miramar Cir, Santa Ana, CA 92705-1502 2019-07-03
1124680921 Ca Ya Services LLC Substance Abuse Rehabilitation Facility 9881 Deerhaven Dr, Santa Ana, CA 92705-7501 2019-07-01
1386118180 Unified Behavioral Health, LLC Substance Abuse Rehabilitation Facility 1218 W Santa Ana Blvd, Santa Ana, CA 92705 2019-01-15
1508338096 New Life Treatment Center Inc. Substance Abuse Rehabilitation Facility 335 E Adams St, Santa Ana, CA 92707-3509 2018-12-20
1316427446 Experience Recovery Detox & Residential LLC. Substance Abuse Rehabilitation Facility 3921 W Hazard Ave, Santa Ana, CA 92703-2625 2018-08-17
1104317940 The Mend of California, LLC Substance Abuse Rehabilitation Facility 1909 W. Carlton Place, Santa Ana, CA 92704 2018-05-29
1073002523 True Recovery Inc. Substance Abuse Rehabilitation Facility 902 W Alpine Ave, Santa Ana, CA 92707-3934 2018-05-09
1962999052 Guardian Health Care Services Substance Abuse Rehabilitation Facility 2902 S Rene Dr, Santa Ana, CA 92704-6222 2018-04-16
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Competitor

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City SANTA ANA
Zip Code 92701

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Dataset Information

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.

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