Beachside Recovery Center LLC
NPI 1104330364 · Substance Abuse Rehabilitation Facility · Mission Viejo, CA
Beachside Recovery Center LLC is a Substance Abuse Rehabilitation Facility organization in Mission Viejo, CA (NPI 1104330364).
Provider details
- NPI number
- 1104330364
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Beachside Recovery Center LLC
- Organization subpart
- Yes
- Authorized official
- Darryle Mackelvey, Supervisor(714) 948-6086
- License
- 300315EP (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-11-27
- Last updated
- 2019-10-28
Frequently asked questions
- What is Beachside Recovery Center LLC's NPI number?
- Beachside Recovery Center LLC's National Provider Identifier (NPI) is 1104330364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beachside Recovery Center LLC?
- Beachside Recovery Center LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Beachside Recovery Center LLC located?
- Beachside Recovery Center LLC's practice location on file with NPPES is 23671 Brasilia St, Mission Viejo, CA 92691-3047.
- What is Beachside Recovery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Beachside Recovery Center LLC is (949) 393-4070.
- Who is the authorized official for Beachside Recovery Center LLC?
- The authorized official listed on Beachside Recovery Center LLC's NPPES record is Darryle Mackelvey, Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beachside Recovery Center LLC's NPI active?
- Yes — Beachside Recovery Center LLC's NPI (1104330364) is active in the NPPES registry as of the last update on 2019-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.