COASTAL RECOVERY HEALTH AND WELLNESS, INC. (NPI# 1629516174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629516174 |
| Entity Type | Organization |
| Organization Name | COASTAL RECOVERY HEALTH AND WELLNESS, INC. |
| Practice Address |
3400 Irvine Ave Suite 220 Newport Beach CA 92660-3116 |
| Practice Telephone | 9493956522 |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-02-05 |
| Authorized Official Name | RYAN MARTIN (DIRECTOR) |
| Authorized Official Telephone | 9493956522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
| Street Address |
3400 IRVINE AVE SUITE 220 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851427017 | Kimberly Bartlett | Social Worker | 3400 Irvine Ave, Suite 217, Newport Beach, CA 92660-3116 | 2007-02-24 |
| 1659765477 | Caring Hearts Play Therapy | Social Worker | 3400 Irvine Ave, Suite 217, Newport Beach, CA 92660-3116 | 2015-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| 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 | 92660 |
Please comment or provide details below to improve the information on COASTAL RECOVERY HEALTH AND WELLNESS, INC..
| 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.