KLEAN LONG BEACH, WA, LLC (NPI# 1912245259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912245259 |
| Entity Type | Organization |
| Organization Name | KLEAN LONG BEACH, WA, LLC |
| Practice Address |
211 Pioneer Rd W Long Beach WA 98631-3654 |
| Mailing Address |
9000 W Sunset Blvd 650 B West Hollywood CA 90069-5801 |
| Practice Telephone | 3606423105 |
| Practice Fax Number | 3606422766 |
| Mailing Telephone | 3107404843 |
| Mailing Fax Number | 3106574420 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | ANDREW SPANSWICK (CEO) |
| Authorized Official Telephone | 3104358096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
211 PIONEER RD W |
| City | LONG BEACH |
| State | WA |
| Zip Code | 98631-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992750558 | Oceanview Medical Investors, LLC | Skilled Nursing Facility | 211 Pioneer Rd W, Long Beach, WA 98631-3654 | 2006-05-23 |
| 1346649092 | Anna Lang | Counselor | 211 Pioneer Rd W, Long Beach, WA 98631-3654 | 2014-08-19 |
| 1376955930 | Klean Physicians Group, LLC. | Psychologist | 211 Pioneer Rd W, Long Beach, WA 98631-3654 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1427576362 | Susan Amy Goldsmith | Social Worker | 607 Ocean Beach Blvd. N., Long Beach, WA 98631 | 2017-08-30 |
| 1558724302 | Jesse Wityczak | Pharmacist | 101 Bolstad Ave E, Long Beach, WA 98631 | 2016-03-30 |
| 1659618007 | Teresa Mary Fleck | Speech-Language Pathologist | 400 S Washington, Long Beach, WA 98631 | 2013-01-04 |
| 1639400385 | Wendy Liu | Counselor | 2204 Pacififc Avenue N, Long Beach, WA 98631 | 2010-01-20 |
| 1093046088 | Diane L Adams | Counselor | 2204 Pacific Avenue N, Long Beach, WA 98631 | 2010-01-15 |
| 1538498076 | Steven R Fox | Counselor | 22004 Pacific Way N, Long Beach, WA 98631 | 2009-12-11 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| Find all providers in zip 98631 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609369313 | American Indian Changing Spirits | Substance Abuse Rehabilitation Facility | 2120 W Williams St Bldg 3, Long Beach, CA 90810-3636 | 2018-06-08 |
| 1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
| 1730623299 | Bpp Lb Recovery, LLC | Substance Abuse Rehabilitation Facility | 1535 E 1st St, Long Beach, CA 90802-5931 | 2016-12-16 |
| 1629439898 | Tranquility Counseling Services | Substance Abuse Rehabilitation Facility | 720 W 4th St Unit 404, Long Beach, CA 90802-2100 | 2016-03-15 |
| 1053784264 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3113 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1033582242 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3115 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1932572146 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3119 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1104299312 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3131 E 7th St, Long Beach, CA 90804-4935 | 2015-11-10 |
| 1811360027 | Safe Refuge | Substance Abuse Rehabilitation Facility | 719 Obispo Ave, Long Beach, CA 90804-5028 | 2015-11-10 |
| 1386017598 | Safe Refuge | Substance Abuse Rehabilitation Facility | 727 Obispo Ave, Long Beach, CA 90804-5027 | 2015-11-10 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 98631 |
Please comment or provide details below to improve the information on KLEAN LONG BEACH, WA, 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.