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COASTLINE RECOVERY LLC
NPI 1306217500
Clinic/Center - Rehabilitation, Substance Use Disorder in Huntington Beach, CA

Active since October 13, 2015
18377 BEACH BLVD STE 210, HUNTINGTON BEACH, CA 92648(949) 205-1065(714) 388-3844 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 13, 2018, Mar 16, 2016, Feb 26, 2016 and 1 more (4 updates tracked since 2015).

About Coastline Recovery Llc NPPES

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

COASTLINE RECOVERY LLC (NPI 1306217500) is a healthcare organization registered as a rehabilitation, substance use disorder in Huntington Beach, California and active in the NPI registry since October 2015. The organization lists Jason Jacobs, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1306217500
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCOASTLINE RECOVERY LLC
Location Address18377 BEACH BLVD STE 210Huntington Beach, CA 92648-1349
Mailing Address18377 Beach Blvd Ste 210Huntington Beach, CA 92648-1349 · (949) 205-1065 · Fax (714) 388-3844
Phone(949) 205-1065
Fax(714) 388-3844
Organization SubpartNo
Authorized OfficialJason JacobsVp Of Operations · (949) 345-5577
Enumeration DateOctober 13, 2015
Last NPPES UpdateMarch 13, 20184 updates tracked since enumeration
✔ NPI 1306217500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in CA · 300630BP
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 300630BP (CA)
18377 BEACH BLVD STE 210, Huntington Beach, CA 92648
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Other Identifiers 2

Other608177The Joint Commission
Other300630BPCA · Dhcs Certification

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.

CRESCENT MOON RECOVERY, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
18377 BEACH BLVD STE 210
HUNTINGTON BEACH, CA 92648
Orange County (714) 841-2260
GARY S TUCKER LMFT
Marriage & Family Therapist
18377 BEACH BLVD STE 210
HUNTINGTON BEACH, CA 92648
Orange County (714) 654-4506

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 Coastline Recovery LLC's NPI number?

The NPI number for Coastline Recovery LLC is 1306217500. It was assigned to this organization in the NPPES registry on October 13, 2015.

Where is Coastline Recovery LLC located?

Coastline Recovery LLC is located at 18377 Beach Blvd Ste 210, Huntington Beach, CA 92648. The listed phone number is (949) 205-1065.

What is Coastline Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Coastline Recovery LLC was last updated on March 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.