PACIFIC BREEZE RECOVERY LLC
NPI 1083455976
Substance Abuse Rehabilitation Facility in Huntington Beach, CA

NPI Status: Active since June 04, 2024

Contact Information

6402 ATHENA DR
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (949) 876-2671

Get Directions Write a Review

  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 05D2312225
  • CLIA Cert. Type: Other - SUBSTANCE USE DISORDER TR
  • CLIA Exp. Date: 10-06-2026

About PACIFIC BREEZE RECOVERY LLC

This page provides the complete NPI Profile along with additional information for Pacific Breeze Recovery Llc, a provider established in Huntington Beach, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1083455976 assigned on June 2024. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Rochelle Sherman (Ceo)

NPI
1083455976
Provider Name
PACIFIC BREEZE RECOVERY LLC
Entity Type
Organization
Location Address
6402 ATHENA DR HUNTINGTON BEACH, CA 92647
Location Phone
(949) 876-2671
Mailing Address
6402 ATHENA DR HUNTINGTON BEACH, CA 92647
Mailing Phone
(949) 876-2671
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2024
Last Update Date
06-04-2024
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
3261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROCHELLE SHERMAN

Authorized Official Title
CEO
Authorized Official Phone
(949) 876-2671

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2312225
Facility Type
Other - SUBSTANCE USE DISORDER TR
Certificate Effective Date
October 07, 2024
Certificate Expiration Date
October 06, 2026
Laboratory Director
JISEUNG YOON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pacific Breeze Recovery Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PACIFIC BREEZE RECOVERY LLC

  • 5 out of 5 stars - Review by Jaclyn ***** on December 01, 2024

    This treatment center is very inviting and serene. A very close personal friend is receiving some of the best care I could ask for, especially not even two weeks in my first family visit was amazing. He is very happy receiving person-centered care as well as coordinated care with honest, caring professionals. Blessed to see the progress in action, thankful for the trusting, caring individuals here

  • NPI NPI Number Validation

    How NPI Validation Works

    The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

    To verify the NPI 1083455976, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

    Digit-by-digit view

    Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

    Pos 1
    1
    Doubled → 2
    Pos 2
    0
    Unchanged
    Pos 3
    8
    Doubled → 16 → 1 + 6
    Pos 4
    3
    Unchanged
    Pos 5
    4
    Doubled → 8
    Pos 6
    5
    Unchanged
    Pos 7
    5
    Doubled → 10 → 1 + 0
    Pos 8
    9
    Unchanged
    Pos 9
    7
    Doubled → 14 → 1 + 4
    Check
    6
    Target digit
    Regular digit Doubled digit Check digit

    Step 1: Double every other digit from the right

    Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

    1 → 2 8 → 16 → 7 4 → 8 5 → 10 → 1 7 → 14 → 5

    Step 2: Add all digits plus the NPI constant

    Add the transformed values, the unchanged digits, and the constant 24.

    2 + 0 + 1 + 6 + 3 + 8 + 5 + 1 + 0 + 9 + 1 + 4 + 24 = 64

    Step 3: Find the amount needed to reach the next multiple of 10

    The next multiple of ten after 64 is 70. The difference is the calculated check digit.

    70 - 64 = 6
    This NPI is valid
    The calculated check digit is 6, which matches the last digit of 1083455976.

    Frequently Asked Questions

    The NPI number assigned to this healthcare provider is 1083455976, enumerated as an "organization" on June 04, 2024.

    The provider is located at 6402 ATHENA DR HUNTINGTON BEACH, CA 92647 and the phone number is (949) 876-2671.

    Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.