Breakwater Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BREAKWATER RECOVERY, LLC

Practice address

1769 Anaheim Ave
Unit a
Costa Mesa, CA 92627-3606

Phone

(949) 836-3520

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Brandon Hilger

Title

Ceo

Phone

(949) 836-3520

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1962874065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 BIRCH ST",
            "address_2": "#421",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 ANAHEIM AVE",
            "address_2": "UNIT A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273606",
            "telephone_number": "949-836-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKWATER RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-836-3520"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Reece Brant
• Bryan Brant
• Navjot Brar
• Breakaway Health Corporation
• Breakwater Medical Group LLC
• Patricia Brewer
• Scott Briggs
• Swantee Lashon Briggs
• Brighter Days MHC LLC
• Brittany Brink, BCBA

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.