Bay Area Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BAY AREA RECOVERY LLC

Practice address

17 Camino Encinas
Orinda, CA 94563-3303

Phone

(415) 996-3956

NPI assigned

Dec 18, 2024

Organization subpart

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

Authorized official

Name

Jesse Scheer

Title

Administration

Phone

(415) 996-3956

Specialties & licenses 1

Addresses

Other names 1

• Creekside Recovery Doing business as

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1477360899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 332",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413057",
            "telephone_number": "415-996-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CAMINO ENCINAS",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633303",
            "telephone_number": "415-996-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "SCHEER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "415-996-3956"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Orinda, CA
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.