OCEAN COAST RECOVERY CENTER
NPI 1730758491
Rehabilitation, Substance Use Disorder Unit in Huntington Beach, CA

NPI Status: Active since June 17, 2021

Contact Information

402 LAKE ST
HUNTINGTON BEACH, CA
ZIP 92648
Phone: (949) 467-4324

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  • Organization
  • Rehabilitation, Substance Use Disorder U...
  • CLIA Number: 05D2244688
  • CLIA Cert. Type: Other - DETOX & RESIDENTIAL SUD T
  • CLIA Exp. Date: 12-02-2025

About OCEAN COAST RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Ocean Coast Recovery Center, a provider established in Huntington Beach, California operating as a Rehabilitation, Substance Use Disorder Unit. The healthcare provider is registered in the NPI registry with number 1730758491 assigned on June 2021. The practitioner's primary taxonomy code is 276400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Ocean Coast Recovery Center. The authorized official of this NPI record is Rebecca Harris (Accountant)

NPI
1730758491
Provider Legal Name
JJLT HOLDINGS LLC
Other Organization Name
OCEAN COAST RECOVERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
402 LAKE ST HUNTINGTON BEACH, CA 92648
Location Phone
(949) 467-4324
Mailing Address
16168 BEACH BLVD # 201C HUNTINGTON BEACH, CA 92647
Mailing Phone
(949) 467-4324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2021
Last Update Date
09-22-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Rehabilitation, Substance Use Disorder Unit

Taxonomy Code
276400000X
Type
Hospital Units
Taxonomy Description
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REBECCA HARRIS

Authorized Official Title
ACCOUNTANT
Authorized Official Phone
(949) 467-4324

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2244688
Facility Type
Other - DETOX & RESIDENTIAL SUD T
Certificate Effective Date
December 03, 2023
Certificate Expiration Date
December 02, 2025
Laboratory Director
CHRISTIAN SMALL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ocean Coast Recovery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730758491
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
276014516418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 4 + 5 + 1 + 6 + 4 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1730758491 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891202982LAKE STREET DETOX LLC
Organization
Substance Abuse Rehabilitation Facility402 LAKE ST
HUNTINGTON BEACH, CA 92648
(877) 699-8511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730758491, enumerated in the NPI registry as an "organization" on June 17, 2021

The provider is located at 402 Lake St Huntington Beach, Ca 92648 and the phone number is (949) 467-4324

This medical organization specializes in Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X

The provider's CLIA number is 05D2244688 for a "other - detox & residential sud t" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 17, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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