NPIMap

Organization Active NPI

Safe Harbor Treatment Center for Women

Doing business as Safe Harbor Connections

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
National Provider Identifier
1881106516
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300154AP Issued in CA
Legal business name
SAFE HARBOR TREATMENT CENTER FOR WOMEN
Doing business as
Safe Harbor Connections
Practice address
687 Governor St
Costa Mesa, CA 92627-2504
Phone
(949) 220-9118
Fax
(949) 220-9118
NPI assigned
Nov 3, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Velvet Bleau Mangan
Title
Owner/Officer
Phone
(714) 849-9434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300154AP CA Primary

Addresses

Primary practice location

687 Governor St
Costa Mesa, CA 92627-2504

Mailing address

1966 Maple Ave Unit a
Costa Mesa, CA 92627-2660
Phone (714) 849-9434

Other practice location 1

671 Governor St
Costa Mesa, CA 92627-2504
Phone (949) 220-9113

Other practice location 2

675 Governor St
Costa Mesa, CA 92627-2504
Phone (949) 220-9114

Other practice location 3

679 Governor St
Costa Mesa, CA 92627-2504
Phone (949) 432-5114

Other names 1

  • Safe Harbor Connections Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Safe Harbor Capella3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1881106516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 MAPLE AVE UNIT A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272660",
            "telephone_number": "714-849-9434",
            "fax_number": "714-242-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 GOVERNOR ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272504",
            "telephone_number": "949-220-9118",
            "fax_number": "949-220-9118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "671 Governor St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272504",
            "country_code": "US",
            "telephone_number": "949-220-9113",
            "fax_number": "949-220-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 Governor St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272504",
            "country_code": "US",
            "telephone_number": "949-220-9114",
            "fax_number": "949-220-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "679 Governor St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272504",
            "country_code": "US",
            "telephone_number": "949-432-5114",
            "fax_number": "949-220-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAFE HARBOR TREATMENT CENTER FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MANGAN",
        "authorized_official_first_name": "VELVET",
        "authorized_official_middle_name": "BLEAU",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "714-849-9434"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300154AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Harbor Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 2018; 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.