NPIMap

Organization Active NPI

Clean Path Recovery, LLC

  • Community/Behavioral Health Agency
  • Costa Mesa, CA
National Provider Identifier
1043629173
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLEAN PATH RECOVERY, LLC
Practice address
1650 Adams Ave
Costa Mesa, CA 92626-4958
Phone
(949) 734-7432
NPI assigned
Aug 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lee Heiligman
Title
Ceo
Phone
(949) 734-7432

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1650 Adams Ave
Costa Mesa, CA 92626-4958

Mailing address

PO Box 3211
Newport Beach, CA 92659-0855
Phone (949) 734-7432

Other names 1

  • Clean Path Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clean Path Recovery7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1043629173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3211",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590855",
            "telephone_number": "949-734-7432",
            "fax_number": "949-209-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ADAMS AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264958",
            "telephone_number": "949-734-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN PATH RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-02",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "HEILIGMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-734-7432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clean Path Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clean Path Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.