Organization Active NPI

Rancho Milagro Recovery Inc

  • Substance Abuse Rehabilitation Facility
  • Temecula, CA
National Provider Identifier
1871266940
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RANCHO MILAGRO RECOVERY INC
Practice address
27570 Commerce Center Dr Ste 220-222
Temecula, CA 92590-2501
Phone
(951) 526-3227
Fax
(951) 602-7999
NPI assigned
Jul 26, 2021
Organization subpart
Yes
Parent organization
RANCHO MILAGRO RECOVERY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Judee Raffael Tompkins
Title
Coo
Phone
(951) 526-3227

Specialties & licenses 1

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

Addresses

Primary practice location

27570 Commerce Center Dr Ste 220-222
Temecula, CA 92590-2501

Mailing address

37235 Painted Pony Rd
Temecula, CA 92592-8221
Phone (951) 526-3227

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
05D2133360Rancho Milagro Recovery27570 Commerce Centre Dr Ste 220, Temecula, CA 92590Certificate of waiverJul 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rancho Milagro Recovery Inc3 organizations share this tax ID, including this one
Part of
Rancho Milagro Recovery Inc

Other organizations with this tax ID 2

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

Locations

27570 Commerce Center Dr
Ste 220222
Temecula, CA 92590
Phone (951) 526-3227

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": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1871266940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37235 PAINTED PONY RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928221",
            "telephone_number": "951-526-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27570 COMMERCE CENTER DR STE 220-222",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902501",
            "telephone_number": "951-526-3227",
            "fax_number": "951-602-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MILAGRO RECOVERY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANCHO MILAGRO RECOVERY INC",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "JUDEE",
        "authorized_official_middle_name": "RAFFAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-526-3227"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.