NPIMap

Organization Active NPI

Malibu Beach Recovery Center, LLC

Doing business as RiverMend Health, LLC

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1790178879
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MALIBU BEACH RECOVERY CENTER, LLC
Doing business as
RiverMend Health, LLC
Practice address
4322 Escondido Dr
Malibu, CA 90265-2842
Phone
(310) 456-2026
NPI assigned
Mar 12, 2015
Organization subpart
Yes
Parent organization
RIVERMEND HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
Debra Townsend, MPH, MBA
Title
VP of Revenue Cycle
Phone
(470) 440-1647

Specialties & licenses 1

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

Addresses

Primary practice location

4322 Escondido Dr
Malibu, CA 90265-2842

Mailing address

2300 Windy Ridge Parkway
Suite 210
Atlanta, GA 30339

Other names 1

  • RiverMend Health, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Malibu Beach Recovery Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1790178879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WINDY RIDGE PARKWAY",
            "address_2": "SUITE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 ESCONDIDO DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652842",
            "telephone_number": "310-456-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU BEACH RECOVERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERMEND HEALTH, LLC",
        "enumeration_date": "2015-03-12",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "470-440-1647",
        "authorized_official_credential": "MPH, MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverMend Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.