BROAD BEACH RETREAT
NPI 1144734625
Substance Abuse Rehabilitation Facility in Malibu, CA
About Broad Beach Retreat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROAD BEACH RETREAT (NPI 1144734625) is a healthcare organization registered as a substance abuse rehabilitation facility in Malibu, California and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Edward Donahue, Cfo And Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
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 05D2155573
Broad Beach Retreat · Malibu, CAFrequently 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 Behavioral Health Solutions Of Malibu, LLC's NPI number?
The NPI number for Behavioral Health Solutions Of Malibu, LLC is 1144734625. It was assigned to this organization in the NPPES registry on November 20, 2017. The provider is doing business as Broad Beach Retreat.
Where is Behavioral Health Solutions Of Malibu, LLC located?
Behavioral Health Solutions Of Malibu, LLC is located at 31217 Bailard Rd, Malibu, CA 90265. The listed phone number is (310) 721-4474.
What is Behavioral Health Solutions Of Malibu, LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Behavioral Health Solutions Of Malibu, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2155573) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Behavioral Health Solutions Of Malibu, LLC was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Broad Beach Retreat · NPI 1144734625
Substance Abuse Rehabilitation Facility organization in Malibu, California. Organization record, active in the CMS NPPES registry since November 20, 2017.
## Identity
- **NPI:** 1144734625 (Entity type: Organization)
- **Enumerated:** November 20, 2017
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Legal business name:** Behavioral Health Solutions Of Malibu, Llc
- **Organization subpart:** No
- **Authorized official:** Edward Donahue, CFO AND AUTHORIZED OFFICIAL
## Practice location
- **Address:** 31217 BAILARD RD, Malibu, CA 90265-2605
- **Phone:** (310) 721-4474
## Record status
- **NPPES last updated:** October 4, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144734625) · Data from the CMS NPPES public registry.