NPIMap

Organization Active NPI

Safe Harbor Treatment Center for Women Capella

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1497018048
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SAFE HARBOR TREATMENT CENTER FOR WOMEN CAPELLA
Practice address
240 Knox St
Costa Mesa, CA 92627-3742
Phone
(626) 797-9977
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Kenneth Anthony Gray
Title
Insurance Coordinator
Phone
(626) 797-9977

Specialties & licenses 1

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

Addresses

Primary practice location

240 Knox St
Costa Mesa, CA 92627-3742

Mailing address

240 Knox St
Costa Mesa, CA 92627-3742

National Provider Directory

National Provider Directory
Tax ID family
Safe Harbor Treatment Center for Women Capella2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1497018048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 KNOX ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 KNOX ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273742",
            "telephone_number": "626-797-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR TREATMENT CENTER FOR WOMEN CAPELLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "626-797-9977"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "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 Jun 19, 2012; 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.