Sea Change Recovery 2 LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SEA CHANGE RECOVERY 2 LLC

Practice address

2205 Hill St
Santa Monica, CA 90405-5007

Phone

(949) 244-5481

NPI assigned

Mar 29, 2023

Organization subpart

No

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

Authorized official

Name

Angela McMahon

Title

Compliance

Phone

(619) 871-7345

Specialties & licenses 2

Addresses

Tax ID family

Sea Change Recovery 2 LLC3 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.

• Sea Change

  • Substance Abuse Rehabilitation Facility
  • Santa Monica, CA
  • NPI 1265136758
  NPD tax ID
• Sea Change Recovery 2 LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Monica, CA
  • NPI 1730883224
  NPD tax ID

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1437853835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 HARBOR BLVD # 140",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "949-244-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 HILL ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055007",
            "telephone_number": "949-244-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CHANGE RECOVERY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "619-871-7345"
    },
    "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": []
}

• Scott Gould Newhart, DMD, Inc.
• Scott L. Rosenzweig M.D. Inc.
• Gregory J. Scott, MA CCC-SLP
• Kenneth C Scott, PSY.D.
• Sea Change
• Sea Change Recovery 2 LLC
• Sea Change Santa Monica, L.P.
• Sea Change Santa Monica, LP
• Sea Change Santa Monica, LP
• Karen Seade, MPT

• Substance Abuse Rehabilitation Facility in Santa Monica, CA
• Providers in Santa Monica, 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 29, 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.