Coachella Valley Recovery Center Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

COACHELLA VALLEY RECOVERY CENTER INC.

Practice address

29660 Avenida la Vista
Cathedral City, CA 92234-3822

Phone

(818) 314-2112

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Steve Canino

Title

Ceo

Phone

(818) 314-2112

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

Tax ID family

Coachella Valley Recovery Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Coachella Valley Recovery Center Inc.

  • Substance Abuse Rehabilitation Facility
  • Cathedral City, CA
  • NPI 1073356333
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Coachella Valley Recovery Center Inc.

  • Substance Abuse Rehabilitation Facility
  • Cathedral City, CA
  • NPI 1073356333
  NPPES parent name

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1417625633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29660 AVENIDA LA VISTA",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343822",
            "telephone_number": "818-314-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29660 AVENIDA LA VISTA",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343822",
            "telephone_number": "818-314-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY RECOVERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "CANINO",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-314-2112"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William I Christensen, MD
• City of Cathedral City
• Classic Yellow Cab
• Jillianna Clupper
• Coachella Valley Recovery Center Inc.
• Community Prescription Center
• Compass Health Systems of California Inc
• Bramlett Allen Conley, MFT
• Kimberly Coppage
• Raul Ernesto Cornejo, ACSW 138733

• 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 Apr 19, 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.