NPIMap

Organization Active NPI

Central Valley Recovery Services, Inc.

Doing business as Pine Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Visalia, CA
National Provider Identifier
1801256078
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
540031BN Issued in CA
Legal business name
CENTRAL VALLEY RECOVERY SERVICES, INC.
Doing business as
Pine Recovery Center
Practice address
120 W School Ave
Visalia, CA 93291-4925
Phone
(559) 625-4100
Fax
(559) 625-1970
NPI assigned
Mar 2, 2016
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Ms. Shirley Kluver, CATC
Title
Chief Executive Officer
Phone
(559) 625-2995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 540031BN CA Primary

Addresses

Primary practice location

120 W School Ave
Visalia, CA 93291-4925

Mailing address

120 W School Ave
Visalia, CA 93291-4925
Phone (559) 625-4100

Other identifiers 1

IdentifierTypeStateIssuer
540031BNOtherCASTATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES LICENSE AND CERTIFICATION

Other names 1

  • Pine Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Valley Recovery Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1801256078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W SCHOOL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914925",
            "telephone_number": "559-625-4100",
            "fax_number": "559-625-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W SCHOOL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914925",
            "telephone_number": "559-625-4100",
            "fax_number": "559-625-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "KLUVER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "559-625-2995",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CATC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "540031BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES LICENSE AND CERTIFICATION",
            "identifier": "540031BN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.