KLEAN LONG BEACH, WA @ BELLVUE – NPI #1831526920
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.

KLEAN LONG BEACH, WA @ BELLVUE is a substance abuse rehabilitation facility located in BELLEVUE, WA. NPPES has assigned the NPI number 1831526920 to KLEAN LONG BEACH, WA @ BELLVUE on October 03, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KLEAN LONG BEACH, WA @ BELLVUE” is a dba name, the actual legal business name for this organization is KLEAN LONG BEACH, WA LLC.. 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 12 years ago on Mar 18, 2014. 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 KLEAN LONG BEACH, WA @ BELLVUE below.

NPI Profile for
KLEAN LONG BEACH, WA LLC.

NPI Number
1831526920
Enumeration Date

(more than 12 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
KLEAN LONG BEACH, WA LLC.
Doing Business As (dba): KLEAN LONG BEACH, WA @ BELLVUE
Primary location
1215 120TH AVE NE STE 201
BELLEVUE, WA 98005-2135
Phone: (360) 642-3105 Fax:
Mailing address
8543 SANTA MONICA BLVD STE 11
WEST HOLLYWOOD, CA 90069-4152
Phone: Fax:
Organization Subpart
No
Authorized Official
ANDREW SPANSWICK
CEO
Phone: (310) 435-8096
Updated
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)

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.