417 South River LLC

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

417 SOUTH RIVER LLC

Doing business as

417 Recovery

Practice address

33050 Antelope Rd Ste 201202
Murrieta, CA 92563-2489

Phone

(760) 485-6563

NPI assigned

Sep 6, 2023

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stevie Kuhn

Title

Owner/Partner

Phone

(760) 485-6563

Specialties & licenses 3

Addresses

Other names 1

• 417 Recovery Doing business as

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

CLIA laboratory certificates

Tax ID family

417 South River LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• 417 South River LLC

  dba 417 Recovery

  • Mental Health Counselor
  • Indio, CA
  • NPI 1376482521
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• 417 South River LLC

  dba 417 Recovery

  • Mental Health Counselor
  • Indio, CA
  • NPI 1376482521
  NPPES parent name

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1891571659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33050 ANTELOPE RD STE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632491",
            "telephone_number": "760-485-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33050 ANTELOPE RD STE 201202",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632489",
            "telephone_number": "760-485-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "417 SOUTH RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "760-485-6563"
    },
    "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"
        },
        {
            "organization_name": "417 Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Children's Substance Abuse Rehabilitation Facility in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Children's Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.