Pacific Haven Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PACIFIC HAVEN RECOVERY LLC

Practice address

17280 Newhope St Ste 16
Fountain Valley, CA 92708-4282

Phone

(949) 244-2279

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Beets

Title

Diretor

Phone

(818) 966-5769

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1639083983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17280 NEWHOPE ST STE 16",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 NEWHOPE ST STE 16",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084282",
            "telephone_number": "949-244-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HAVEN RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "BEETS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRETOR",
        "authorized_official_telephone_number": "818-966-5769"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.