GRACE SHORES RECOVERY, LLC
NPI 1942656954
Clinical Medical Laboratory in Costa Mesa, CA

Active since May 09, 2016
2554 ELDEN AVE, B103, COSTA MESA, CA 92627(949) 220-3770 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Shores Recovery, Llc NPPES

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

GRACE SHORES RECOVERY, LLC (NPI 1942656954) is a healthcare organization registered as a clinical medical laboratory in Costa Mesa, California and active in the NPI registry since May 2016. The organization lists Rebecca Edge, Founder/director, as its authorized official.

NPPES Registry Identity

NPI1942656954
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameGRACE SHORES RECOVERY, LLC
Location Address2554 ELDEN AVE, B103Costa Mesa, CA 92627-5127
Mailing Address2554 Elden Ave, B103Costa Mesa, CA 92627-5127 · (949) 220-3770
Organization SubpartNo
Authorized OfficialRebecca EdgeFounder/director · (949) 220-3770
Enumeration DateMay 9, 2016
NPI 1942656954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in CA · 05D2080278
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
2554 ELDEN AVE, Costa Mesa, CA 92627

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 Grace Shores Recovery, LLC's NPI number?

The NPI number for Grace Shores Recovery, LLC is 1942656954. It was assigned to this organization in the NPPES registry on May 9, 2016.

Where is Grace Shores Recovery, LLC located?

Grace Shores Recovery, LLC is located at 2554 Elden Ave B103, Costa Mesa, CA 92627. The listed phone number is (949) 220-3770.

What is Grace Shores Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Grace Shores Recovery, LLC was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.