Everlast Recovery Centers Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

330165AP Issued in CA

Legal business name

EVERLAST RECOVERY CENTERS INC

Practice address

6560 Sandy LN
Riverside, CA 92505-2028

Phone

(951) 434-3869

NPI assigned

Jul 21, 2017

Organization subpart

No

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

Authorized official

Name

Danny Lee Dorsey

Title

Owner-Ceo

Phone

(951) 434-3869

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Everlast 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.

• Everlast Recovery Centers Inc

  • Substance Abuse Rehabilitation Facility
  • Riverside, CA
  • NPI 1487229126
  NPD tax ID

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1487177374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 GLENBURN LN",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 SANDY LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052028",
            "telephone_number": "951-434-3869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19192 Turrell Way",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925086607",
            "country_code": "US",
            "telephone_number": "951-434-3869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVERLAST RECOVERY CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2021-05-05",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER-CEO",
        "authorized_official_telephone_number": "951-434-3869"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330165AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "330165AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michele Ewing
• Express Carenow, Inc

• Substance Abuse Rehabilitation Facility in Riverside, CA
• Providers in Riverside, 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 May 5, 2021; 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.