WINDWARD WAY RECOVERY – NPI #1477929909
Substance Abuse Rehabilitation Facility

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.

WINDWARD WAY RECOVERY is a substance abuse rehabilitation facility located in COSTA MESA, CA. NPPES has assigned the NPI number 1477929909 to WINDWARD WAY RECOVERY on August 19, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on May 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WINDWARD WAY RECOVERY below.

NPI Profile for
WINDWARD WAY RECOVERY

NPI Number
1477929909
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WINDWARD WAY RECOVERY
Primary location
316 HAMILTON ST
COSTA MESA, CA 92627
Phone: (949) 335-7603 Fax: (877) 820-8959
Mailing address
3822 CAMPUS DR STE 500
NEWPORT BEACH, CA 92660-2607
Phone: (949) 335-7603 Fax: (877) 820-8959
Organization Subpart
Yes - WINDWARD WAY RECOVERY is subpart of another organization.
Authorized Official
KYLE MCHENRY
PROGRAM DIRECTOR
Phone: (657) 304-0103
Updated
Certification Date
May 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
CA 300246BP

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.