Coastline Recovery Llc
LBN: Coastline Recovery Llc
Coastline Recovery Llc is an health care organization with primary practice located at 18377 Beach Blvd Ste 210 , Huntington Beach CA 92648-1349. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Coastline Recovery Llc can be contacted via phone (949) 205-1065, or through Jacobs, Jason via phone (949) 345-5577.
Contact Information
Primary practice address
18377 Beach Blvd Ste 210
Huntington Beach CA 92648-1349
Phone: (949) 205-1065
Fax: (714) 388-3844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 300630BP | California |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 300630BP | California |
Profile Details
| NPI number | 1306217500 |
|---|---|
| LBN Legal business name | Coastline Recovery Llc |
| DBA Doing business as | |
| Authorized official | Jacobs, Jason |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2015 |
| Last updated | Mar 13th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306217500 | NPPES |
| California | Other | 300630BP | DHCS CERTIFICATION |
| California | Other | 608177 | DHCS CERTIFICATION |
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