Everlast Recovery Centers Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

EVERLAST RECOVERY CENTERS INC

Practice address

19192 Turrell Way
Riverside, CA 92508-6607

Phone

(951) 434-3869

NPI assigned

May 25, 2021

Last updated

May 25, 2021By the provider in NPPES

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

Ceo

Phone

(951) 434-3869

Specialties & licenses 1

Addresses

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 1487177374
  NPD tax ID

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1487229126",
    "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",
            "telephone_number": "951-434-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19192 TURRELL WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086607",
            "telephone_number": "951-434-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLAST RECOVERY CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-434-3869"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 25, 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.