NPIMap

Organization Active NPI

Atlantic Recovery Services

  • Community/Behavioral Health Agency
  • Long Beach, CA
National Provider Identifier
1205054079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190229AN Issued in CA
Legal business name
ATLANTIC RECOVERY SERVICES
Practice address
1909 Atlantic Ave
North
Long Beach, CA 90806-5509
Phone
(562) 218-5243
Fax
(562) 218-5241
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Chavez
Title
Director
Phone
(562) 436-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190229AN CA Primary

Addresses

Primary practice location

1909 Atlantic Ave
North
Long Beach, CA 90806-5509

Mailing address

944 Pacific Ave
Long Beach, CA 90813-4228
Phone (562) 436-3533

Other identifiers 1

IdentifierTypeStateIssuer
6890MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Recovery Services81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1909 Atlantic Ave
Long Beach, CA 90806
Phone (562) 218-5243

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205054079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134228",
            "telephone_number": "562-436-3533",
            "fax_number": "562-436-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 ATLANTIC AVE",
            "address_2": "NORTH",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065509",
            "telephone_number": "562-218-5243",
            "fax_number": "562-218-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-436-3533"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190229AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6890",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.