NPIMap

Organization Active NPI

Riverside County Latino Commission on Alcohol and Drug Abuse Services

Doing business as Bea's Detox Home for Men

  • Children's Substance Abuse Rehabilitation Facility
  • Coachella, CA
National Provider Identifier
1497291819
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES
Doing business as
Bea's Detox Home for Men
Bea's Youth Treatment Home for Girls
Practice address
50173 Calle Marbella
Coachella, CA 92236
Phone
(760) 398-9000
Fax
(760) 398-9790
NPI assigned
Jan 9, 2017
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Leonel Contreras
Title
Executive Director
Phone
(760) 398-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU Primary

Addresses

Primary practice location

50173 Calle Marbella
Coachella, CA 92236

Mailing address

1612 First Street
Coachella, CA 92236
Phone (760) 398-9000

Other names 2

  • Bea's Detox Home for Men Doing business as
  • Bea's Youth Treatment Home for Girls Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Latino Commission12 organizations share this tax ID, including this one
Part of
Riverside Latino Commission

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1497291819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 FIRST STREET",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "92236",
            "telephone_number": "760-398-9000",
            "fax_number": "760-398-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50173 CALLE MARBELLA",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "92236",
            "telephone_number": "760-398-9000",
            "fax_number": "760-398-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES",
        "enumeration_date": "2017-01-09",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-398-9000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bea's Detox Home for Men",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bea's Youth Treatment Home for Girls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bea's Youth Treatment Home for Girls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.