Hideaway Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HIDEAWAY RECOVERY, LLC

Practice address

68910 Concepcion Rd
Cathedral City, CA 92234-3854

Phone

(760) 641-0316

NPI assigned

Mar 30, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Misty Durnford

Title

Ceo

Phone

(760) 641-0316

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1033813191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68910 CONCEPCION RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68910 CONCEPCION RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343854",
            "telephone_number": "760-641-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDEAWAY RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "DURNFORD",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-641-0316"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Vanessa Henriquez
• Paula Stephanie Henry
• Caroline Ann Hernandez-Benedict
• Alejandro Hernandez, CMTC
• Alicia Berumen Hernandez
• Wayne Hilty, OT
• Bruce W Hinton, PA-C
• Hivand and Ghazal Dental Corporation
• Jan Therese Hocutt, SLP
• Amir Hodge, NP

• Substance Abuse Rehabilitation Facility in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.