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SHORELINE RANCH
NPI 1912440645
Substance Abuse Rehabilitation Facility in Escondido, CA

Active since November 29, 2016
19915 FORTUNA DEL ESTE, ESCONDIDO, CA 92029(760) 290-4749 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shoreline Ranch NPPES

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

SHORELINE RANCH (NPI 1912440645) is a healthcare organization registered as a substance abuse rehabilitation facility in Escondido, California and active in the NPI registry since November 2016. The organization lists Ben Beauchaine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912440645
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePURE LIFE RECOVERY, LLC
Location Address19915 FORTUNA DEL ESTEEscondido, CA 92029-5917
Mailing Address901 Calle Amanecer, Suite 255San Clemente, CA 92673-6278 · (949) 629-3936
Phone(760) 290-4749
Organization SubpartNo
Authorized OfficialBen BeauchaineCeo · (714) 417-7628
Enumeration DateNovember 29, 2016
Last NPPES UpdateApril 24, 2017
✔ NPI 1912440645 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 · 370174AP
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.
19915 FORTUNA DEL ESTE, Escondido, CA 92029
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Other Names 1

Doing Business AsShoreline Ranch

Other Identifiers 1

Other370174APCA · State License - Dhcs

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 Pure Life Recovery, LLC's NPI number?

The NPI number for Pure Life Recovery, LLC is 1912440645. It was assigned to this organization in the NPPES registry on November 29, 2016. The provider is doing business as Shoreline Ranch.

Where is Pure Life Recovery, LLC located?

Pure Life Recovery, LLC is located at 19915 Fortuna Del Este, Escondido, CA 92029. The listed phone number is (760) 290-4749.

What is Pure Life 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 Pure Life Recovery, LLC was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.