NPIMap

Organization Active NPI

My Time Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1740786557
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
100002AP Issued in CA
Legal business name
MY TIME RECOVERY, LLC
Practice address
1107 W Rialto Ave
Fresno, CA 93705-0918
Phone
(559) 840-0896
NPI assigned
Apr 2, 2018
Organization subpart
Yes
Parent organization
MY TIME RECOVERY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Samantha Barron
Title
Office Manager
Phone
(559) 355-6128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 100002AP CA Primary

Addresses

Primary practice location

1107 W Rialto Ave
Fresno, CA 93705-0918

Mailing address

83 E Shaw Ave Ste 200
Fresno, CA 93710-7624
Phone (559) 286-9263

National Provider Directory

National Provider Directory
Tax ID family
My Time Recovery LLC6 organizations share this tax ID, including this one
Part of
My Time Recovery LLC

Other organizations with this tax ID 5

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

Locations

83 E Shaw Ave
Ste 200
Fresno, CA 93710
Phone (559) 550-2809

7045 N Fruit Ave
Fresno, CA 93711
Phone (559) 666-6550

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1740786557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 E SHAW AVE STE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107624",
            "telephone_number": "559-286-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W RIALTO AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050918",
            "telephone_number": "559-840-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TIME RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY TIME RECOVERY LLC",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-355-6128"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "100002AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.