NPIMap

Organization Active NPI

Palm Springs Sober Living Inc

Doing business as Palo Verde Wellness Center

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, CA
National Provider Identifier
1417764150
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PALM SPRINGS SOBER LIVING INC
Doing business as
Palo Verde Wellness Center
Practice address
889 E Francis Dr
Palm Springs, CA 92262-2213
Phone
(413) 579-7290
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
William Burse
Title
Owner
Phone
(479) 335-5999

Specialties & licenses 1

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

Addresses

Primary practice location

889 E Francis Dr
Palm Springs, CA 92262-2213

Mailing address

889 E Francis Dr
Palm Springs, CA 92262-2213

Other names 1

  • Palo Verde Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Springs Sober Living3 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.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1417764150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 E FRANCIS DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 E FRANCIS DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622213",
            "telephone_number": "413-579-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SPRINGS SOBER LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "BURSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-335-5999"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Verde Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.