NPIMap

Organization Active NPI

KKB Health Solutions

Doing business as Clear Life Recovery

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1427545276
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KKB HEALTH SOLUTIONS
Doing business as
Clear Life Recovery
Practice address
2822 Monterey Ave
Costa Mesa, CA 92626-5535
Phone
(561) 860-6551
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Katie Murphy
Title
Cfo
Phone
(561) 860-6551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2822 Monterey Ave
Costa Mesa, CA 92626-5535

Mailing address

4029 Westerly PL Ste 109a
Newport Beach, CA 92660-2329
Phone (561) 860-6551

Other names 1

  • Clear Life Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KKB Health Solutions5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1427545276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 WESTERLY PL STE 109A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602329",
            "telephone_number": "561-860-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 MONTEREY AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265535",
            "telephone_number": "561-860-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKB HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-860-6551"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Life Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.