RANCH CREEK RECOVERY,INC. (NPI# 1700410958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700410958 |
| Entity Type | Organization |
| Organization Name | RANCH CREEK RECOVERY,INC. |
| Practice Address |
43264 Business Park Dr Ste 101 Temecula CA 92590-3646 |
| Mailing Address |
27636 Ynez Rd # 271 Temecula CA 92591-5600 |
| Practice Telephone | 9516969200 |
| Practice Fax Number | 9516959366 |
| Mailing Telephone | 7143965413 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | SHELLY TICHELAAR (PRESIDENT) |
| Authorized Official Telephone | 7143965413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI NUMBER | 1538459060 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147211 | Ranch Creek Recovery,inc. | Substance Abuse Rehabilitation Facility | 36702 Doreen Dr, Murrieta, CA 92563-3022 | 2020-02-26 |
| 1538459060 | Ranch Creek Recovery,inc. | Substance Abuse Rehabilitation Facility | 25650 Bass Pt, Murrieta, CA 92562-9424 | 2011-04-18 |
| Street Address |
43264 BUSINESS PARK DR STE 101 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| 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 |
|---|---|---|---|---|
| 1538654520 | Rancho Milagro Recovery Inc | Substance Abuse Rehabilitation Facility | 37235 Painted Pony Rd, Temecula, CA 92592-8221 | 2018-06-22 |
| 1609389162 | Southern California Addiction Center | Substance Abuse Rehabilitation Facility | 44764 Mumm St, Temecula, CA 92592-5546 | 2017-11-07 |
| 1538672084 | Southern California Addiction Center | Substance Abuse Rehabilitation Facility | 40624 Calle Cancion, Temecula, CA 92592-9472 | 2017-11-07 |
| 1174971493 | Inland Detox, Inc. | Substance Abuse Rehabilitation Facility | 38630 Mesa Rd, Temecula, CA 92592-8631 | 2016-05-26 |
| 1346614666 | Southern California Addiction Center | Substance Abuse Rehabilitation Facility | 36500 De Portola Rd, Temecula, CA 92592-7801 | 2015-11-24 |
| 1265818082 | Best New Life Recovery | Substance Abuse Rehabilitation Facility | 20755 Carancho Rd, Temecula, CA 92590-4242 | 2015-08-04 |
| 1770967267 | Second2none | Substance Abuse Rehabilitation Facility | 32619 Via Perales, Temecula, CA 92592-8148 | 2015-07-14 |
| 1124408166 | 2 Shine Again, Inc | Substance Abuse Rehabilitation Facility | 37347 Avednida Chapala, Temecula, CA 92592 | 2015-06-04 |
| 1437496833 | Dave Leo Johnson | Substance Abuse Rehabilitation Facility | 42012 Dahlia Way, Temecula, CA 92591-5356 | 2013-01-07 |
| 1477788487 | Forterus Healthcare | Substance Abuse Rehabilitation Facility | 30852 Highland Vista Cir, Temecula, CA 92591-7264 | 2009-05-19 |
| Find all providers in TEMECULA | ||||
Please comment or provide details below to improve the information on RANCH CREEK RECOVERY,INC..
| 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.