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PASSAGES SILVER STRAND LLC NPI 1770713497


NPI Information

NPI: 1770713497
Provider Name: PASSAGES SILVER STRAND, LLC

Doing Business As: PASSAGES VENTURA

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2074184

Address:
224 E CLARA ST
PORT HUENEME, CA
ZIP 93041
Phone: (805) 283-4737
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PASSAGES SILVER STRAND, LLC is a substance abuse rehabilitation facility in Port Hueneme, 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. PASSAGES SILVER STRAND, LLC NPI is 1770713497. The provider is registered as an organization entity type.
The provider Is Doing Business As Passages Ventura.

The provider's business location address is:

224 E CLARA ST
PORT HUENEME, CA
ZIP 93041-732
Phone: (805) 283-4737
Fax: (805) 488-9000

The provider's authorized official is Marina Jo Mahoney .
The authorized official title is Coo and has the following contact phone number (310) 589-2880.

The CLIA number assigned to this NPI record is 05D2074184 - other - treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2009 and was last updated on 10/1/2015.


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 Facility560036APCALIFORNIAYes

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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