Organization Active NPI

MMM Group LLC

Doing business as Merciful Recovery Homes

  • Substance Abuse Rehabilitation Facility
  • Stockton, CA
National Provider Identifier
1619774213
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MMM GROUP LLC
Doing business as
Merciful Recovery Homes
Practice address
3639 Mill Springs Dr
Stockton, CA 95219-3227
Phone
(209) 594-6311
NPI assigned
Feb 28, 2025
Organization subpart
Yes
Parent organization
MMM GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Authorized official

Name
Marcelino Mireles
Title
Ceo
Phone
(209) 594-6311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3639 Mill Springs Dr
Stockton, CA 95219-3227

Mailing address

5411 Brook Meadow CT
Stockton, CA 95219-2438
Phone (209) 594-6311

Other names 1

  • Merciful Recovery Homes Doing business as

National Provider Directory

National Provider Directory
Part of
MMM Group LLC

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740787200000",
    "number": "1619774213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 BROOK MEADOW CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192438",
            "telephone_number": "209-594-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 MILL SPRINGS DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952193227",
            "telephone_number": "209-594-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMM GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MMM GROUP LLC",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A",
        "authorized_official_last_name": "MIRELES",
        "authorized_official_first_name": "MARCELINO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-594-6311"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merciful Recovery Homes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Merciful Recovery Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; 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.