Ridgeview Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

330021BN Issued in CA

Legal business name

RIDGEVIEW RECOVERY LLC

Practice address

1216 Cleveland Way
Corona, CA 92881-5906

Phone

(833) 327-3268

Fax

(888) 507-7087

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Kellie Terry

Title

Billing Manager

Phone

(909) 379-9237

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1306355144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 STATE ROUTE 70 STE 9",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015961",
            "telephone_number": "909-379-9237",
            "fax_number": "888-507-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 CLEVELAND WAY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928815906",
            "telephone_number": "833-327-3268",
            "fax_number": "888-507-7087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1285 Corona Pointe Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928795105",
            "country_code": "US",
            "telephone_number": "833-327-3268",
            "fax_number": "888-507-7087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIDGEVIEW RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "909-379-9237"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330021BN",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330021AP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH TREATMENT FACILITY",
            "identifier": "330021AP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH TREATMENT FACILITY",
            "identifier": "330021BN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Corona, CA
• Providers in Corona, 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 Jun 11, 2019; 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.