R&R Holistic Wellness , LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

R&R HOLISTIC WELLNESS , LLC

Doing business as

R&R Holistic

Practice address

12523 Limonite Ave Ste 440-346
Mira Loma, CA 91752-3665

Phone

(951) 708-8088

NPI assigned

Mar 29, 2016

Last updated

Mar 29, 2016By 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

Laurence Hicks

Title

Cfo

Phone

(951) 708-8088

Specialties & licenses 3

Addresses

Other names 1

• R&R Holistic Doing business as

Locations

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1508229519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 LIMONITE AVE STE 440-346",
            "city": "MIRA LOMA",
            "state": "CA",
            "postal_code": "917523665",
            "telephone_number": "951-708-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12523 LIMONITE AVE STE 440-346",
            "city": "MIRA LOMA",
            "state": "CA",
            "postal_code": "917523665",
            "telephone_number": "951-708-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&R HOLISTIC WELLNESS , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-708-8088"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R&R Holistic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Ontiveros
• Chad Walter Petties Sr.
• Nancy Yvonne Piper, MFTI
• Douglas Angus Pollock, PT
• Prior Board & Care
• Kirollos Ramses Riad
• Riverside Recovery Resources (Beta Program)
• Riverside Recovery Resources (Beta Program)
• Natalie Arlene Rodriguez
• Roylene Debra Scott, D.C.

• Substance Abuse Rehabilitation Facility in Mira Loma, CA
• Providers in Mira Loma, 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 29, 2016; 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.