Ranch Creek Recovery,Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

330100AP Issued in CA

Legal business name

RANCH CREEK RECOVERY,INC.

Practice address

25650 Bass PT
Murrieta, CA 92562-9424

Phone

(951) 696-9200

Fax

(951) 695-2509

NPI assigned

Apr 18, 2011

Last updated

Feb 26, 2020By 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

Ms. Shelly Tichelaar

Title

President

Phone

(951) 695-9300

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

CLIA laboratory certificates

Tax ID family

Ranch Creek Recoveryinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ranch Creek Recovery,Inc.

  • Substance Abuse Rehabilitation Facility
  • Murrieta, CA
  • NPI 1073147211
  NPD tax ID
• Ranch Creek Recovery,Inc.

  • Substance Abuse Rehabilitation Facility
  • Temecula, CA
  • NPI 1700410958
  NPD tax ID

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1538459060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27636 YNEZ RD # 271",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915600",
            "telephone_number": "951-676-9111",
            "fax_number": "951-695-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25650 BASS PT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629424",
            "telephone_number": "951-696-9200",
            "fax_number": "951-695-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCH CREEK RECOVERY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "TICHELAAR",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-695-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330100AP",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1538459060",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Murrieta",
            "affiliation": "N",
            "address_1": "25650 Bass Pt",
            "city": "Murrieta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925629424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Envie Ramos
• Jessica Ann Ramos
• Marife Ramos
• Shweta Ramteke
• Ranch Creek Recovery,Inc.
• Rancho Bracing LLC
• Rancho Family Medical Group, Inc. (Temecula Valley OB-GYN Medical Associates inc.)
• Rancho Family Medical Group, Inc. (Platinum Women's Health and Wellness)
• Rancho OB/GYN
• Rancho Oral and Facial Surgery Inc a Dental Practice of D Allen Pulsip

• Substance Abuse Rehabilitation Facility in Murrieta, CA
• Providers in Murrieta, 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 Feb 26, 2020; 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.