NPIMap

Organization Active NPI

Windward Way Recovery

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1477929909
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300246BP Issued in CA
Legal business name
WINDWARD WAY RECOVERY
Practice address
316 Hamilton St
Costa Mesa, CA 92627
Phone
(949) 335-7603
Fax
(877) 820-8959
NPI assigned
Aug 19, 2015
Organization subpart
Yes
Parent organization
WINDWARD WAY RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Mr. Kyle R McHenry
Title
Program Director
Phone
(657) 304-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300246BP CA Primary

Addresses

Primary practice location

316 Hamilton St
Costa Mesa, CA 92627

Mailing address

3822 Campus Dr Ste 500
Newport Beach, CA 92660-2607
Phone (949) 335-7603

National Provider Directory

National Provider Directory
Tax ID family
Windward Way Recovery7 organizations share this tax ID, including this one
Part of
Windward Way Recovery

Other organizations with this tax ID 6

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": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1477929909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 CAMPUS DR STE 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602607",
            "telephone_number": "949-335-7603",
            "fax_number": "877-820-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HAMILTON ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92627",
            "telephone_number": "949-335-7603",
            "fax_number": "877-820-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD WAY RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDWARD WAY RECOVERY",
        "enumeration_date": "2015-08-19",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "MCHENRY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "657-304-0103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300246BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 7, 2020; 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.