Coastline Recovery for Women LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

COASTLINE RECOVERY FOR WOMEN LLC

Practice address

18377 Beach Blvd
Suite 330
Huntington Beach, CA 92648-1381

Phone

(949) 345-5577

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jason Jacobs

Title

Owner

Phone

(949) 345-5577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1467984617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18377 BEACH BLVD",
            "address_2": "SUITE 330",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481381",
            "telephone_number": "949-345-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18377 BEACH BLVD",
            "address_2": "SUITE 330",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481381",
            "telephone_number": "949-345-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE RECOVERY FOR WOMEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-345-5577",
        "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": []
}

• Coastal Cities Transportation
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• Coastal Surgery Center, Inc.
• Coastline Anesthesia & Pain Management Group a Medical Corpora
• Coastline Dental Care
• Coastline Recovery LLC
• Coastline Therapies
• Jeffrey Mark Coates, PT
• Heather Ann Cobb, BCBA
• Rachel Cochlin

• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, 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 28, 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.