PINE RIDGE TREATMENT CENTERS, INC. (NPI# 1508903683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508903683 |
| Entity Type | Organization |
| Organization Name | PINE RIDGE TREATMENT CENTERS, INC. |
| Practice Address |
2727 Highland Dr Running Springs CA 92382-2303 |
| Mailing Address |
Po Box 2303 Running Springs CA 92382-2303 |
| Practice Telephone | 9098677027 |
| Mailing Telephone | 9098677027 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-02-24 |
| Authorized Official Name | WALTER GILES (PRESIDENT) |
| Authorized Official Telephone | 9098674404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 20A3971 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| Street Address |
2727 HIGHLAND DR |
| City | RUNNING SPRINGS |
| State | CA |
| Zip Code | 92382-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942791744 | Altitude Physical Therapy & Fitness | Clinic/Center | 30948 All View Dr., Running Springs, CA 92382 | 2018-05-29 |
| 1821499195 | Katharine Braun | Marriage & Family Therapist | 32765 Hilltop Blvd., Suite D, Running Springs, CA 92382 | 2014-09-05 |
| 1497098578 | Roma Jean Nall | Chiropractor | 31791 Hilltop Blvd, Running Springs, CA 92382 | 2013-03-27 |
| 1922276831 | Judith Eileen Rossbach | Social Worker | 31357 Onacrest Dr, Running Springs, CA 92382 | 2008-02-13 |
| 1932310802 | Russ Kingman Decker Jr. | Marriage & Family Therapist | 32184 Cove Circle, Running Springs, CA 92382 | 2007-05-24 |
| 1881703957 | San Bernardino Mountains Community Hospital District | Clinic/Center | 2642 Palo Alto, Running Springs, CA 92382 | 2006-08-30 |
| 1447742903 | Michelle Cole | Physical Therapist | 30948 All View Dr., Running Springs, CA 92382 | 2018-05-31 |
| 1942695887 | Claire St John | Dietitian, Registered | 32328 Nordic Drive, Running Springs, CA 92382-0296 | 2015-03-30 |
| 1417341678 | Hope Springs Recovery Center | Substance Abuse Rehabilitation Facility | 31851 Mistletoe Dr, Running Springs, CA 92382-0322 | 2015-03-26 |
| 1285799742 | Judy A Lees | Dental Hygienist | 2675 Viking Lane, Running Springs, CA 92382-1535 | 2006-12-26 |
| Find all providers in zip 92382 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417341678 | Hope Springs Recovery Center | Substance Abuse Rehabilitation Facility | 31851 Mistletoe Dr, Running Springs, CA 92382-0322 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | RUNNING SPRINGS |
| Zip Code | 92382 |
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| 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.