NPIMap

Organization Active NPI

Malibu Beach Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Pacific Palisades, CA
National Provider Identifier
1265825475
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1905628P Issued in CA
Legal business name
MALIBU BEACH RECOVERY CENTER, LLC
Practice address
15415 W Sunset Blvd
Suite 230
Pacific Palisades, CA 90272-3546
Phone
(310) 456-2026
NPI assigned
Mar 12, 2015
Organization subpart
Yes
Parent organization
RIVERMEND HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Debra Townsend, MPH, MBA
Title
VP of Revenue Cycle
Phone
(470) 440-1647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1905628P CA Primary

Addresses

Primary practice location

15415 W Sunset Blvd
Suite 230
Pacific Palisades, CA 90272-3546

Mailing address

2300 Windy Ridge Parkway
Suite 210S
Atlanta, GA 30339
Phone (470) 440-1647

National Provider Directory

National Provider Directory
Tax ID family
Malibu Beach Recovery Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

15415 W Sunset Blvd
Ste 230
Pacific Palisades, CA 90272
Phone (310) 456-2026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1265825475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WINDY RIDGE PARKWAY",
            "address_2": "SUITE 210S",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "470-440-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15415 W SUNSET BLVD",
            "address_2": "SUITE 230",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723546",
            "telephone_number": "310-456-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU BEACH RECOVERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERMEND HEALTH, LLC",
        "enumeration_date": "2015-03-12",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "470-440-1647",
        "authorized_official_credential": "MPH, MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "1905628P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.