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BEACHSIDE RECOVERY CENTER LLC
NPI 1104330364
Substance Abuse Rehabilitation Facility in Mission Viejo, CA

Active since November 27, 2017
23671 BRASILIA ST, MISSION VIEJO, CA 92691(949) 393-4070 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2019, Nov 27, 2017 (2 updates tracked since 2017).

About Beachside Recovery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACHSIDE RECOVERY CENTER LLC (NPI 1104330364) is a healthcare organization registered as a substance abuse rehabilitation facility in Mission Viejo, California and active in the NPI registry since November 2017. The organization lists Darryle Mackelvey, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1104330364
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBEACHSIDE RECOVERY CENTER LLC
Location Address23671 BRASILIA STMission Viejo, CA 92691-3047
Mailing AddressPo Box 511330Los Angeles, CA 90051-7885
Phone(949) 393-4070
Organization SubpartYes
Authorized OfficialDarryle MackelveySupervisor · (714) 948-6086
Enumeration DateNovember 27, 2017
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
✔ NPI 1104330364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 300315EP
Definition
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.
23671 BRASILIA ST, Mission Viejo, CA 92691
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE LAU
Social Worker (Clinical)
23671 BRASILIA ST
MISSION VIEJO, CA 92691
Orange County (888) 846-8745
SOCAL EMPOWERED, LLC
Community Based Residential Treatment Facility, Mental Illness
23671 BRASILIA ST
MISSION VIEJO, CA 92691
Orange County (888) 846-8569

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beachside Recovery Center LLC's NPI number?

The NPI number for Beachside Recovery Center LLC is 1104330364. It was assigned to this organization in the NPPES registry on November 27, 2017.

Where is Beachside Recovery Center LLC located?

Beachside Recovery Center LLC is located at 23671 Brasilia St, Mission Viejo, CA 92691. The listed phone number is (949) 393-4070.

What is Beachside Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Beachside Recovery Center LLC was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.