NPIMap

Organization Active NPI

Riverside Recovery Resources

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Perris, CA
National Provider Identifier
1083902829
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RIVERSIDE RECOVERY RESOURCES
Practice address
418 E. Ellis Ave
Perris Lake Continuation HS
Perris, CA 92571
Phone
(951) 940-6061
Fax
(951) 674-5227
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Lois Ann Easterling
Title
Contract Administrator
Phone
(951) 674-5354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X CA Primary

Addresses

Primary practice location

418 E. Ellis Ave
Perris Lake Continuation HS
Perris, CA 92571

Mailing address

PO Box 549
Lake Elsinore, CA 92531-0549
Phone (951) 674-5354

Other names 1

  • Beta Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Recovery Resources Inc45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1083902829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925310549",
            "telephone_number": "951-674-5354",
            "fax_number": "951-674-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E. ELLIS AVE",
            "address_2": "PERRIS LAKE CONTINUATION HS",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "92571",
            "telephone_number": "951-940-6061",
            "fax_number": "951-674-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE RECOVERY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "EASTERLING",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CONTRACT ADMINISTRATOR",
        "authorized_official_telephone_number": "951-674-5354"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beta Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.