NPIMap

Organization Active NPI

Mfi Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Riverside, CA
National Provider Identifier
1881059525
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
330013AN Issued in CA
Legal business name
MFI RECOVERY CENTER
Practice address
17270 Roosevelt Street
Riverside, CA 92508-9523
Phone
(951) 683-6596
Fax
(951) 683-4239
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Mrs. Jossye Karin Cook
Title
Chief Executive Officer
Phone
(951) 683-6596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 330013AN CA Primary

Addresses

Primary practice location

17270 Roosevelt Street
Riverside, CA 92508-9523

Mailing address

5870 Arlington Avenue
Riverside, CA 92504-2037
Phone (951) 683-6596

Other identifiers 1

IdentifierTypeStateIssuer
02443200MedicaidCA

Other names 1

  • MFI Recovery Center - Woodcrest Other name

National Provider Directory

National Provider Directory
Tax ID family
La Sierra High School47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

17270 Roosevelt St
Riverside, CA 92508
Phone (951) 683-6556

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1881059525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 ARLINGTON AVENUE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042037",
            "telephone_number": "951-683-6596",
            "fax_number": "991-351-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 ROOSEVELT STREET",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089523",
            "telephone_number": "951-683-6596",
            "fax_number": "951-683-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFI RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JOSSYE",
        "authorized_official_middle_name": "KARIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "951-683-6596",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330013AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02443200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MFI Recovery Center - Woodcrest",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MFI Recovery Center - Woodcrest",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.