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WINDWARD WAY RECOVERY LLC
NPI 1104391127
Substance Abuse Rehabilitation Facility in Costa Mesa, CA

Active since October 05, 2018CLIA Certified · 2 labs
2136 THURIN ST UNIT A, COSTA MESA, CA 92627(657) 304-0103 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2020, Jun 11, 2019, Oct 17, 2018 and 1 more (4 updates tracked since 2018).

About Windward Way Recovery Llc NPPES

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

WINDWARD WAY RECOVERY LLC (NPI 1104391127) is a healthcare organization registered as a substance abuse rehabilitation facility in Costa Mesa, California and active in the NPI registry since October 2018. The organization holds 2 active CLIA laboratory certificates and lists Ian Roy, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1104391127
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWINDWARD WAY RECOVERY LLC
Location Address2136 THURIN ST UNIT ACosta Mesa, CA 92627-6067
Mailing Address3822 Campus Dr Ste 500Newport Beach, CA 92660-2607 · (657) 304-0103 · Fax (877) 820-8959
Phone(657) 304-0103
Organization SubpartNo
Authorized OfficialIan RoyBilling Director · (657) 304-0103
Enumeration DateOctober 5, 2018
Last NPPES UpdateMay 7, 20204 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
✔ NPI 1104391127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
2136 THURIN ST UNIT A, Costa Mesa, CA 92627
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Other Identifiers 1

Other300246HPCA · Dhcs

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2162746

Windward Way Recovery · Costa Mesa, CA
Active · expires Feb 27, 2027
CLIA Number05D2162746
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorValeh Karimkhani Do
Laboratory Phone(877) 213-2669
Laboratory LocationWindward Way Recovery2136 Thurin Street, Unit A, Costa Mesa, CA 92627
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2162754

Windward Way Recovery · Costa Mesa, CA
Active · expires Feb 27, 2027
CLIA Number05D2162754
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorValeh Karimkhani
Laboratory Phone(877) 213-2669
Laboratory LocationWindward Way Recovery2737 Doctors Circle, Unit A, Costa Mesa, CA 92627
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TEAGLE HALL LLC
Substance Abuse Rehabilitation Facility
2136 THURIN ST UNIT A
COSTA MESA, CA 92627
Orange County (877) 713-2669

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 Windward Way Recovery LLC's NPI number?

The NPI number for Windward Way Recovery LLC is 1104391127. It was assigned to this organization in the NPPES registry on October 5, 2018.

Where is Windward Way Recovery LLC located?

Windward Way Recovery LLC is located at 2136 Thurin St Unit A, Costa Mesa, CA 92627. The listed phone number is (657) 304-0103.

What is Windward Way Recovery LLC's specialty?

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

Does Windward Way Recovery LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Windward Way Recovery LLC was last updated on May 7, 2020. 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.