NPIMap

Organization Active NPI

Beachside Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
National Provider Identifier
1346791035
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BEACHSIDE RECOVERY CENTER LLC
Practice address
7800 SW Barbur Blvd
Portland, OR 97219-2823
Phone
(949) 430-7824
NPI assigned
Oct 18, 2016
Organization subpart
Yes
Parent organization
BEACHSIDE RECOVERY CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Mr. Scott Wilson
Title
Regional Program Director
Phone
(949) 430-7824

Specialties & licenses 1

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

Addresses

Primary practice location

7800 SW Barbur Blvd
Portland, OR 97219-2823

Mailing address

PO Box 511330
Los Angeles, CA 90051-7885

National Provider Directory

National Provider Directory
Tax ID family
Beachside Recovery Center LLC11 organizations share this tax ID, including this one
Part of
Beachside Recovery Center LLC

Other organizations with this tax ID 10

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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1346791035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW BARBUR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192823",
            "telephone_number": "949-430-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE RECOVERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACHSIDE RECOVERY CENTER LLC",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "REGIONAL PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "949-430-7824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.