Providence Recovery Centers, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PROVIDENCE RECOVERY CENTERS, INC.

Practice address

23703 Piedras Rd
Perris, CA 92570-7263

Phone

(951) 443-1715

Fax

(951) 940-5384

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Cyndy Smith, CAS

Title

Drug and Alcohol Counselor

Phone

(951) 443-1715

Specialties & licenses 1

Addresses

Tax ID family

Providence Recovery Centers 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.

• Providence Recovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Moreno Valley, CA
  • NPI 1114549144
  NPD tax ID

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1457891699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23703 PIEDRAS RD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925707263",
            "telephone_number": "951-443-1715",
            "fax_number": "951-940-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23703 PIEDRAS RD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925707263",
            "telephone_number": "951-443-1715",
            "fax_number": "951-940-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE RECOVERY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CYNDY",
        "authorized_official_title_or_position": "DRUG AND ALCOHOL COUNSELOR",
        "authorized_official_telephone_number": "951-443-1715",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of California Medical PC (My Health Center At Lowe's Perris)
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• Jennifer Prieto
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• Progressive ABA Solutions and Training
• Lyshllmhyrr Prudente-Imperio, PT, DPT
• Lauren Ashley Prunty
• Daphaney Bridget Puckett
• Talia Janae Puckett
• Elizabeth Krista Quesada, RN

• Substance Abuse Rehabilitation Facility in Perris, CA
• Providers in Perris, 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 Mar 7, 2017; 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.