NPIMap

Organization Active NPI

417 Desert Cities, LLC

Doing business as 417 Recovery

  • Children's Substance Abuse Rehabilitation Facility
  • Palm Desert, CA
National Provider Identifier
1750817383
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
417 DESERT CITIES, LLC
Doing business as
417 Recovery
Practice address
74075 El Paseo Ste A5
Palm Desert, CA 92260-4118
Phone
(760) 565-2998
Fax
(442) 282-1100
NPI assigned
May 2, 2017
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Mrs. Stevie Kuhn
Title
Owner/Partner
Phone
(760) 565-2998

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

74075 El Paseo Ste A5
Palm Desert, CA 92260-4118

Mailing address

74075 El Paseo Ste A5
Palm Desert, CA 92260-4118
Phone (760) 565-2998

Other names 1

  • 417 Recovery Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2330599417 Desert Cities74075 El Paseo Suite A5, Palm Desert, CA 92260Certificate of waiverSep 17, 2027

National Provider Directory

National Provider Directory

Locations

73271 Fred Waring Dr
Ste 103
Palm Desert, CA 92260

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1750817383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74075 EL PASEO STE A5",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604118",
            "telephone_number": "760-565-2998",
            "fax_number": "442-282-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74075 EL PASEO STE A5",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604118",
            "telephone_number": "760-565-2998",
            "fax_number": "442-282-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "417 DESERT CITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "760-565-2998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "417 Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.