RIVERSIDE RECOVERY RESOURCES (NPI# 1205158631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205158631 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RECOVERY RESOURCES |
| Practice Address |
520 Chaney St Conference Room Lake Elsinore CA 92530-2711 |
| Mailing Address |
Po Box 549 Lake Elsinore CA 92531-0549 |
| Practice Telephone | 9516745354 |
| Practice Fax Number | 9516745227 |
| Mailing Telephone | 9516745354 |
| Mailing Fax Number | 9516745227 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |
| Authorized Official Name | DERRICK BRUCE HARVEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9516745354 |
| Authorized Official Credential | CAS II |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073850152 | Riverside Recovery Resources | Clinic/Center | 175 E Nuevo Rd, Perris, CA 92571-2910 | 2013-01-10 |
| 1063758365 | Riverside Recovery Resources | Clinic/Center | 4250 Opal St, Jurupa Valley, CA 92509-7251 | 2012-12-14 |
| 1972849271 | Riverside Recovery Resources | Clinic/Center | 4355 Camino Real, Jurupa Valley, CA 92509-3455 | 2012-12-14 |
| 1316283799 | Riverside Recovery Resources | Clinic/Center | 1990 S A St, Pinacate Middle School, Perris, CA 92570-4507 | 2012-12-12 |
| 1528304979 | Riverside Recovery Resources | Clinic/Center | 831 E Devonshire Ave, Alessandro High School, Hemet, CA 92543-3052 | 2012-12-12 |
| 1124377098 | Riverside Recovery Resources | Clinic/Center | 26400 Dartmouth St, Hemet Academy, Hemet, CA 92544-6302 | 2012-09-06 |
| 1467727883 | Riverside Recovery Resources | Clinic/Center | 47336 Oasis St, Rcoe Indio, Indio, CA 92201-6946 | 2012-03-19 |
| 1437424843 | Riverside Recovery Resources | Clinic/Center | 13730 Perris Blvd, Rcoe Military Academy, Moreno Valley, CA 92553-4302 | 2012-03-19 |
| 1922373331 | Riverside Recovery Resources | Clinic/Center | 5656 Mission Blvd, Jarupa Valley Youth Oppertunity Center, Riverside, CA 92509-4404 | 2012-03-19 |
| 1265707665 | Riverside Recovery Resources | Clinic/Center | 26866 San Jacinto St, Rcoe Hemet, Hemet, CA 92543-7293 | 2012-03-19 |
| Street Address |
520 CHANEY ST CONFERENCE ROOM |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881916765 | Riverside Recovery Resources | Clinic/Center | 28755 El Toro Rd, Counseling Office, Lake Elsinore, CA 92532-1912 | 2010-02-19 |
| 1942536230 | Riverside Recovery Resources, Inc. | Clinic/Center | 600 3rd St Ste C, Lake Elsinore, CA 92530-2748 | 2009-10-22 |
| 1275799744 | Riverside Recovery Resources | Clinic/Center | 1405 Education Way # 200, Lake Elsinore, CA 92530-2809 | 2008-08-04 |
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| 1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
Please comment or provide details below to improve the information on RIVERSIDE RECOVERY RESOURCES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.