Captive Hearts

LBN: Captive Hearts
Captive Hearts is an health care organization with primary practice located at 882 W Grand Ave , Grover Beach CA 93433-2134. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Rehabilitation, Other Service Providers / Driver. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Captive Hearts can be contacted via phone (805) 481-4500, or through Goodenough, Elissa Rose via phone (805) 602-8751.

Contact Information

Primary practice address
882 W Grand Ave Grover Beach CA 93433-2134
Phone: (805) 481-4500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goodenough, Elissa Rose
Phone: (805) 602-8751

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1457975351
LBN Legal business name Captive Hearts
DBA Doing business as
Authorized official Goodenough, Elissa Rose
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2020
Last updated Jun 17th, 2020 - about 4 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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