Provider Demographics
NPI:1558657809
Name:OCEAN RECOVERY, LLC
Entity Type:Organization
Organization Name:OCEAN RECOVERY, LLC
Other - Org Name:SOLUTIONS BY THE SEA
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MADDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHIGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-524-1039
Mailing Address - Street 1:3419 VIA LIDO
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3908
Mailing Address - Country:US
Mailing Address - Phone:949-723-2388
Mailing Address - Fax:949-723-1288
Practice Address - Street 1:1601 W BALBOA BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4527
Practice Address - Country:US
Practice Address - Phone:949-723-2388
Practice Address - Fax:949-723-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300144AP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility