Safe Harbor Treatment Center for Women Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300221AP Issued in CA

Legal business name

SAFE HARBOR TREATMENT CENTER FOR WOMEN INC

Practice address

546 Bernard St
Costa Mesa, CA 92627-2658

Phone

(949) 645-1026

NPI assigned

Dec 26, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Velvet Bleau Mangan

Title

Owner/Officer

Phone

(949) 645-1026

Specialties & licenses 4

Addresses

Other names 1

• Safe Harbor's Capella Other name

Tax ID family

Safe Harbor Capella3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Safe Harbor Treatment Center for Women

  dba Safe Harbor Connections

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1881106516
  NPD tax ID
• Safe Harbor Treatment Center for Women Inc

  dba Safe Harbor Capella

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1396052031
  NPD tax ID

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1285140483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 MAPLE AVE UNIT A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272660",
            "telephone_number": "714-849-9434",
            "fax_number": "714-242-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 BERNARD ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272658",
            "telephone_number": "949-645-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550A Bernard St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272658",
            "country_code": "US",
            "telephone_number": "949-645-1026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550B Bernard St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272658",
            "country_code": "US",
            "telephone_number": "949-645-1026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "548 Bernard St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272658",
            "country_code": "US",
            "telephone_number": "949-645-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAFE HARBOR TREATMENT CENTER FOR WOMEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MANGAN",
        "authorized_official_first_name": "VELVET",
        "authorized_official_middle_name": "BLEAU",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "949-645-1026"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300221DP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300221AP",
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "300221CP",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "300221BP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Harbor's Capella",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Marie Saewitz
• Jeffrey Thomas Safarik, O.D.
• Safe and Sound Treatment, LLC
• Safe Harbor Treatment Center for Women (Safe Harbor Connections)
• Safe Harbor Treatment Center for Women Capella
• Safe Harbor Treatment Center for Women Inc (Safe Harbor Capella)
• Safe Harbor's Capella LLC
• Safe Harbors Capella Inc.
• Saghatchi Dental Corporation
• Farshad Saghatchi, D.D.S.

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.