POINT BREAK RECOVERY LLC NPI 1255030813

NPI Information

  • NPI: 1255030813
  • Provider Name: POINT BREAK RECOVERY LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: POINT BREAK RECOVERY
  • CLIA Number: 05D2284886
  • Address: 2100 PIERPONT BLVD
    VENTURA, CA
    ZIP 93001
  • Phone: (805) 415-2441

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NPI Details

POINT BREAK RECOVERY LLC is a substance abuse rehabilitation facility in Ventura, 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. POINT BREAK RECOVERY LLC NPI is 1255030813. The provider is registered as an organization entity type.
The provider Is Doing Business As Point Break Recovery.

The provider's business location address is:

2100 PIERPONT BLVD
VENTURA, CA
ZIP 93001-861
Phone: (805) 415-2441

The provider's authorized official is Kimberly Martin .
The authorized official title is Managing Member and has the following contact phone number (805) 813-1659.

The CLIA number assigned to this NPI record is 05D2284886 - other - residential sud rehabilit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2023 and was last updated on 6/24/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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