Beachside Recovery Center Llc

LBN: Beachside Recovery Center Llc
Beachside Recovery Center Llc is an health care organization with primary practice located at 23671 Brasilia St , Mission Viejo CA 92691-3047. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Beachside Recovery Center Llc can be contacted via phone (949) 393-4070, or through Mackelvey, Darryle via phone (714) 948-6086.

Contact Information

Primary practice address
23671 Brasilia St Mission Viejo CA 92691-3047
Phone: (949) 393-4070
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mackelvey, Darryle
Phone: (714) 948-6086

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 300315EP California

Profile Details

NPI number 1104330364
LBN Legal business name Beachside Recovery Center Llc
DBA Doing business as
Authorized official Mackelvey, Darryle
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 27th, 2017
Last updated Oct 28th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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