NPIMap

Organization Active NPI

Inland Valley Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1427464429
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
INLAND VALLEY RECOVERY SERVICES
Practice address
955 N D St
San Bernardino, CA 92410-3519
Phone
(909) 889-6519
Fax
(909) 889-6560
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Tina HughesNPI 1245421775
Title
Ceo
Phone
(909) 932-1069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 360001ABN CA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

955 N D St
San Bernardino, CA 92410-3519

Mailing address

916 N Mountain Ave
Suite a
Upland, CA 91786-3697
Phone (909) 932-1069

Other names 1

  • San Bernardino Recovery Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Inland Valley Drug and Alcohol Recovery Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

916 N Mountain Ave
Ste A
Upland, CA 91786

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1427464429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N MOUNTAIN AVE",
            "address_2": "SUITE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863697",
            "telephone_number": "909-932-1069",
            "fax_number": "909-932-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103519",
            "telephone_number": "909-889-6519",
            "fax_number": "909-889-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND VALLEY RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-932-1069"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "360001ABN",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Bernardino Recovery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "San Bernardino Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.