Oceanrock, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OCEANROCK, LLC

Practice address

2655 Villa Creek Dr Ste 111
Farmers Branch, TX 75234-7396

Phone

(214) 347-9995

NPI assigned

Nov 8, 2023

Organization subpart

Yes

Parent organization

OCEANROCK, LLCAs reported in NPPES

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

Authorized official

Name

Tahamtan Nematbakhsh, JD

Title

Ceo

Phone

(949) 375-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• OceanRock Recovery Doing business as
• OceanRock Recovery LLC Doing business as

Tax ID family

Oceanrock LLC2 organizations share this tax ID, including this one

Part of

Oceanrock LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oceanrock, LLC

  • Community/Behavioral Health Agency
  • Newport Beach, CA
  • NPI 1073142907
  NPD tax ID

Locations

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1902670185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 QUAIL ST STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602700",
            "telephone_number": "949-979-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 VILLA CREEK DR STE 111",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347396",
            "telephone_number": "214-347-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANROCK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCEANROCK, LLC",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "NEMATBAKHSH",
        "authorized_official_first_name": "TAHAMTAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-375-5541",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH AND HUMAN SERVICES",
            "identifier": "4933-4934",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OceanRock Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OceanRock Recovery LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.