Bluestone Recovery, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

360107BP Issued in CA

Legal business name

BLUESTONE RECOVERY, INC.

Practice address

1660 Chicago Ave Ste M11
Riverside, CA 92507-2033

Phone

(951) 823-0540

Fax

(951) 823-0541

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Michael John Lyons, LAADC

Title

Ceo

Phone

(951) 823-0540

Specialties & licenses 1

Addresses

Tax ID family

Bluestone Recovery Inc2 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.

• Bluestone Recovery, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Riverside, CA
  • NPI 1578962114
  NPD tax ID

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1902345705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 CHICAGO AVE STE M11",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072033",
            "telephone_number": "951-823-0540",
            "fax_number": "951-823-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 CHICAGO AVE STE M11",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072033",
            "telephone_number": "951-823-0540",
            "fax_number": "951-823-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-823-0540",
        "authorized_official_credential": "LAADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360107BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarisa Marie Bloemhof
• Katelynn Christine Bloom
• Lakemie Catricia Blount
• Lindsay Joy Blount, COTA/L
• Bluestone Recovery, Inc.
• Rhoda K. Blum, MD
• Mary Louise Blunt III
• Charles Boadu, MD
• Abigail Kirby Akua Boaitey
• Devin Boas

• Substance Abuse Rehabilitation Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.