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SAFE HARBOR'S CAPELLA LLC NPI 1619279320


NPI Information

NPI: 1619279320
Provider Name: SAFE HARBOR'S CAPELLA LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2035865

Address:
546 BERNARD ST
COSTA MESA, CA
ZIP 92627
Phone: (949) 645-1026
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SAFE HARBOR'S CAPELLA LLC is a substance abuse rehabilitation facility in Costa Mesa, CA. The provider is 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. SAFE HARBOR'S CAPELLA LLC NPI is 1619279320. The provider is registered as an organization entity type.

The provider's business location address is:

546 BERNARD ST
COSTA MESA, CA
ZIP 92627-658
Phone: (949) 645-1026

The provider's authorized official is Velvet Mangan .
The authorized official title is Ceo and has the following contact phone number (949) 645-1026.

The CLIA number assigned to this NPI record is 05D2035865 - other - inpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility300221APCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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