NPIMap

Organization Active NPI

Coachella Valley Recovery Center Inc.

  • Substance Abuse Rehabilitation Facility
  • Cathedral City, CA
National Provider Identifier
1073356333
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COACHELLA VALLEY RECOVERY CENTER INC.
Practice address
68275 Verano Rd
Cathedral City, CA 92234-6260
Phone
(760) 760-5888
NPI assigned
Jun 14, 2024
Organization subpart
Yes
Parent organization
COACHELLA VALLEY RECOVERY CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Rachel Sutton
Title
VP of Managed Care
Phone
(301) 806-5655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

68275 Verano Rd
Cathedral City, CA 92234-6260

Mailing address

68275 Verano Rd
Cathedral City, CA 92234-6260

National Provider Directory

National Provider Directory
Tax ID family
Coachella Valley Recovery Center Inc2 organizations share this tax ID, including this one
Part of
Coachella Valley Recovery Center Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1073356333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68275 VERANO RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68275 VERANO RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346260",
            "telephone_number": "760-760-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY RECOVERY CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COACHELLA VALLEY RECOVERY CENTER INC.",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "VP OF MANAGED CARE",
        "authorized_official_telephone_number": "301-806-5655"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.