MALIBU BEACH RECOVERY CENTER - BRENTWOOD HOUSE
NPI 1801319967
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Q: What is Malibu Beach Recovery Center, LLC's NPI number?

The NPI number for Malibu Beach Recovery Center, LLC is 1801319967. It was assigned to this organization in the NPPES registry on July 20, 2017. The provider is also known as Malibu Beach Recovery Center - Brentwood House.

Q: What is Malibu Beach Recovery Center, LLC's specialty?

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

Active since July 20, 2017

101 S SALTAIR AVE, LOS ANGELES, CA 90049(678) 813-0505(678) 813-0505 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Malibu Beach Recovery Center - Brentwood House NPPES

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

MALIBU BEACH RECOVERY CENTER - BRENTWOOD HOUSE (NPI 1801319967) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since July 2017. The organization lists Jean Ann Dockery, Director Of Rcm, as its authorized official.

NPPES Registry Identity

NPI1801319967

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameMALIBU BEACH RECOVERY CENTER, LLC

Location Address101 S SALTAIR AVELos Angeles, CA 90049-4114

Mailing Address2300 Windy Ridge Pkwy #210 SouthAtlanta, GA 30339 · (678) 813-0505 · Fax (678) 813-0505

Phone(678) 813-0505

Fax(678) 813-0505

Organization SubpartYesParent: Rivermend Health, Llc

Authorized OfficialJean Ann DockeryDirector Of Rcm · (678) 813-0505

Enumeration DateJuly 20, 2017

Last NPPES UpdateSeptember 8, 2017

✔ NPI 1801319967 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 · 190562CP

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.

101 S SALTAIR AVE, Los Angeles, CA 90049

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Other Names 1

Other NameMalibu Beach Recovery Center - Brentwood House

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 Malibu Beach Recovery Center, LLC's NPI number?

The NPI number for Malibu Beach Recovery Center, LLC is 1801319967. It was assigned to this organization in the NPPES registry on July 20, 2017. The provider is also known as Malibu Beach Recovery Center - Brentwood House.

Where is Malibu Beach Recovery Center, LLC located?

Malibu Beach Recovery Center, LLC is located at 101 S Saltair Ave, Los Angeles, CA 90049. The listed phone number is (678) 813-0505.

What is Malibu Beach 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 Malibu Beach Recovery Center, LLC was last updated on September 8, 2017. 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.