Lake Street Detox LLC
NPI 1891202982 · Substance Abuse Rehabilitation Facility · Huntington Beach, CA
Lake Street Detox LLC is a Substance Abuse Rehabilitation Facility organization in Huntington Beach, CA (NPI 1891202982).
Provider details
- NPI number
- 1891202982
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Eric Niccole, Ceo(949) 279-1165
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
- 2018-01-10
- Last updated
- 2018-01-10
Frequently asked questions
- What is Lake Street Detox LLC's NPI number?
- Lake Street Detox LLC's National Provider Identifier (NPI) is 1891202982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Street Detox LLC?
- Lake Street Detox LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Lake Street Detox LLC located?
- Lake Street Detox LLC's practice location on file with NPPES is 402 Lake St, Huntington Beach, CA 92648-5928.
- What is Lake Street Detox LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Street Detox LLC is (877) 699-8511.
- Who is the authorized official for Lake Street Detox LLC?
- The authorized official listed on Lake Street Detox LLC's NPPES record is Eric Niccole, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Street Detox LLC's NPI active?
- Yes — Lake Street Detox LLC's NPI (1891202982) is active in the NPPES registry as of the last update on 2018-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.