Ranch Creek Recovery,Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RANCH CREEK RECOVERY,INC.

Practice address

43264 Business Park Dr Ste 101
Temecula, CA 92590-3646

Phone

(951) 696-9200

Fax

(951) 695-9366

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Shelly Tichelaar

Title

President

Phone

(714) 396-5413

Specialties & licenses 1

Addresses

Other identifiers 1

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
  • Murrieta, CA
  • NPI 1538459060
  NPD tax ID

Locations

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1700410958",
    "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": "714-396-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43264 BUSINESS PARK DR STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903646",
            "telephone_number": "951-696-9200",
            "fax_number": "951-695-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCH CREEK RECOVERY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "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": "714-396-5413"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1538459060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Ramon
• Guadalupe Jazmin Ramos
• Lucero Ramos
• Nohemi Ramos, RBT
• Vanessa Crystal Ramos, LVN
• Rancho Counseling Center, Inc
• Rancho Family Counseling, Inc.
• Rancho Family Medical Group, Inc. (Platinum Women's Health and Wellness)
• Rancho Milagro Recovery Inc
• Rancho Milagro Recovery Inc

• Substance Abuse Rehabilitation Facility in Temecula, CA
• Providers in Temecula, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.