BALBOA HORIZONS RECOVERY SERVICES LP (NPI# 1194921270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194921270 |
| Entity Type | Organization |
| Organization Name | BALBOA HORIZONS RECOVERY SERVICES LP |
| Practice Address |
1132 W Balboa Blvd Newport Beach CA 92661-1091 |
| Practice Telephone | 9496753406 |
| Mailing Telephone | 9496753406 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MATHIAS WILLIAM ARNOLD HANCK (BUSINESS DEVELOPMENT CO-OWNER) |
| Authorized Official Telephone | 7148011839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 300165AP | CA | Residential Treatment Facilities |
| Street Address |
1132 W BALBOA BLVD |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92661-1091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841847654 | True Recovery Inc. | Clinic/Center | 1132 W Balboa Blvd, Newport Beach, CA 92661-1091 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487030177 | Kaylin Zabienski | Marriage & Family Therapist | 933 W Balboa Blvd Apt B, Newport Beach, CA 92661-1001 | 2015-08-04 |
| 1285920520 | Ocean Recovery, LLC | Substance Abuse Rehabilitation Facility | 1217 W Bay Ave, Newport Beach, CA 92661-1018 | 2011-06-24 |
| 1841721453 | Carl Matthew Adler | Behavior Technician | 1115 W Balboa Blvd Apt 5, Newport Beach, CA 92661-1037 | 2017-03-24 |
| 1811283278 | Ocean Recovery, LLC | Substance Abuse Rehabilitation Facility | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2011-06-23 |
| 1477053767 | Jason Patrick Pate I | Technician | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2018-02-14 |
| 1396259875 | Joshua Lecker | Counselor | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-11-20 |
| 1912429465 | Jeremy Paul Bowden | Behavior Technician | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-07-15 |
| 1104358589 | Holly Kuhn | Counselor | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-04-03 |
| 1124205067 | Kelli A. Fox | Hospice Care, Community Based | 1230 W Balboa Blvd, #e, Newport Beach, CA 92661-1061 | 2008-01-22 |
| 1114393105 | Robert Davis | Licensed Vocational Nurse | 821 1/2 W Balboa Blvd, Newport Beach, CA 92661-1107 | 2015-08-13 |
| Find all providers in zip 92661 | ||||
| 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 |
|---|---|---|---|---|
| 1306456413 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6111 Seashore Dr, Newport Beach, CA 92663-2019 | 2020-08-04 |
| 1194345041 | Primavera Recovery | Substance Abuse Rehabilitation Facility | 1451 Quail St Ste 211, Newport Beach, CA 92660-2741 | 2020-04-21 |
| 1578193678 | Gratitude Lodge LLC | Substance Abuse Rehabilitation Facility | 20182 Kline Dr, Newport Beach, CA 92660-1312 | 2020-01-17 |
| 1780157610 | Prosperity Wellness Inc | Substance Abuse Rehabilitation Facility | 20351 Sw Acacia St Fl 1, Newport Beach, CA 92660-1527 | 2019-01-03 |
| 1942725361 | Affinity Group, LLC. | Substance Abuse Rehabilitation Facility | 1911 Kings Rd, Newport Beach, CA 92663-5004 | 2017-08-07 |
| 1265975064 | Joshua House, LLC | Substance Abuse Rehabilitation Facility | 3822 Campus Dr Ste 200, Newport Beach, CA 92660-2609 | 2016-11-28 |
| 1841659893 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 20271 Sw Birch St Ste 202, Newport Beach, CA 92660-1752 | 2016-02-18 |
| 1740668730 | True Recovery, Inc. | Substance Abuse Rehabilitation Facility | 20351 Sw Acacia St Fl 2, Newport Beach, CA 92660-1527 | 2015-05-11 |
| 1164812731 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 4138 Patrice Rd, Newport Beach, CA 92663-3618 | 2015-02-03 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92661 |
Please comment or provide details below to improve the information on BALBOA HORIZONS RECOVERY SERVICES LP.
| 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.