Ranch Creek Recovery,Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RANCH CREEK RECOVERY,INC.

Practice address

36702 Doreen Dr
Murrieta, CA 92563-3022

Phone

(951) 696-9200

Fax

(951) 696-9206

NPI assigned

Feb 26, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelly Tichelaar

Title

Ceo

Phone

(951) 696-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ranch Creek Recoveryinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ranch Creek Recovery,Inc.

  • Substance Abuse Rehabilitation Facility
  • Murrieta, CA
  • NPI 1538459060
  NPD tax ID
• Ranch Creek Recovery,Inc.

  • Substance Abuse Rehabilitation Facility
  • Temecula, CA
  • NPI 1700410958
  NPD tax ID

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1073147211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27636 YNEZ RD # 271",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915600",
            "telephone_number": "714-396-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36702 DOREEN DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633022",
            "telephone_number": "951-696-9200",
            "fax_number": "951-696-9206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43264 Business Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925903646",
            "country_code": "US",
            "telephone_number": "951-696-9200",
            "fax_number": "951-696-9206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANCH CREEK RECOVERY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "TICHELAAR",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-696-9200"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1538459060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dulce Ramos
• Envie Ramos
• Jessica Ann Ramos
• Marife Ramos
• Shweta Ramteke
• Ranch Creek Recovery,Inc.
• Rancho Bracing LLC
• Rancho Family Medical Group, Inc. (Temecula Valley OB-GYN Medical Associates inc.)
• Rancho Family Medical Group, Inc. (Platinum Women's Health and Wellness)
• Rancho OB/GYN

• Substance Abuse Rehabilitation Facility in Murrieta, CA
• Providers in Murrieta, 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 Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.