BEACHSIDE RECOVERY, LLC
NPI 1710365598
Substance Abuse Rehabilitation Facility in Fountain Valley, CA

Q: What is Beachside Recovery, LLC's NPI number?

The NPI number for Beachside Recovery, LLC is 1710365598. It was assigned to this organization in the NPPES registry on May 12, 2015.

Q: What is Beachside Recovery, LLC's specialty?

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

Active since May 12, 2015

16490 HARBOR BLVD. A-B, FOUNTAIN VALLEY, CA 92708(949) 393-4070 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Beachside Recovery, Llc NPPES

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

BEACHSIDE RECOVERY, LLC (NPI 1710365598) is a healthcare organization registered as a substance abuse rehabilitation facility in Fountain Valley, California and active in the NPI registry since May 2015. The organization lists Darryle Lee Mackelvey, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1710365598

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameBEACHSIDE RECOVERY, LLC

Location Address16490 HARBOR BLVD. A-BFountain Valley, CA 92708

Mailing AddressPo Box 511330Los Angeles, CA 90051-7885

Phone(949) 393-4070

Organization SubpartNo

Authorized OfficialDarryle Lee MackelveySupervisor · (714) 948-6086

Enumeration DateMay 12, 2015

Last NPPES UpdateDecember 10, 2018

✔ NPI 1710365598 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 · 300315BP

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.

16490 HARBOR BLVD. A-B, Fountain Valley, CA 92708

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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, LLC's NPI number?

The NPI number for Beachside Recovery, LLC is 1710365598. It was assigned to this organization in the NPPES registry on May 12, 2015.

Where is Beachside Recovery, LLC located?

Beachside Recovery, LLC is located at 16490 Harbor Blvd. A-B, Fountain Valley, CA 92708. The listed phone number is (949) 393-4070.

What is Beachside Recovery, 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, LLC was last updated on December 10, 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.