NPIMap

Organization Active NPI

Long Beach Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
National Provider Identifier
1174925549
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LONG BEACH RECOVERY, INC.
Practice address
1818 E Appleton St
Long Beach, CA 90802-3911
Phone
(949) 467-9213
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Steve Fennelly
Title
President & Ceo
Phone
(949) 467-9213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1818 E Appleton St
Long Beach, CA 90802-3911

Mailing address

2900 Bristol St Ste B300
Costa Mesa, CA 92626-5948
Phone (949) 467-9213

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1174925549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE B300",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265948",
            "telephone_number": "949-467-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E APPLETON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023911",
            "telephone_number": "949-467-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "FENNELLY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "949-467-9213"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.