Organization Active NPI

I C Recovery Center LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Jurupa Valley, CA
National Provider Identifier
1598618175
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
I C RECOVERY CENTER LLC
Practice address
11685 Holmes Ave
Jurupa Valley, CA 91752-2737
Phone
(213) 752-9548
NPI assigned
Feb 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Mr. Marcus Lamont Lloyd II
Title
Owner
Phone
(213) 752-9548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

11685 Holmes Ave
Jurupa Valley, CA 91752-2737

Mailing address

11685 Holmes Ave
Jurupa Valley, CA 91752-2737
Phone (213) 752-9548

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1598618175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 HOLMES AVE",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917522737",
            "telephone_number": "213-752-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 HOLMES AVE",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917522737",
            "telephone_number": "213-752-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I C RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-752-9548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.