RIVERSIDE RECOVERY RESOURCES (NPI# 1881916765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881916765 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RECOVERY RESOURCES |
| Practice Address |
28755 El Toro Rd Counseling Office Lake Elsinore CA 92532-1912 |
| 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 | 2010-02-19 |
| Last Update Date | 2010-02-19 |
| 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 |
28755 EL TORO RD COUNSELING OFFICE |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92532-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748757 | Amy Leigh Blickhahn | Registered Nurse | 28755 El Toro Rd, Lake Elsinore, CA 92532-1912 | 2019-06-12 |
| 1346775517 | David Cox | Specialist/Technologist | 28755 El Toro Rd, Lake Elsinore, CA 92532-1912 | 2017-04-25 |
| 1225331416 | Mfi Temescal Canyon High School | Community/Behavioral Health | 28755 El Toro Rd, Lake Elsinore, CA 92532-1912 | 2010-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817842 | The Social Work Action Group | Family Medicine | 28497 California 74 Suite 113, Lake Elsinore, CA 92532 | 2019-12-06 |
| 1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
| 1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
| 1902083595 | Joong Gu Han | Acupuncturist | 53116 Tropical Street, Lake Elsinore, CA 92532 | 2008-01-25 |
| 1063632123 | Taba Apostu & Apostu Professional Dental Corp | Dentist | 361 Railroad Canyon Rd, #a, Lake Elsinore, CA 92532 | 2007-04-30 |
| 1164584793 | Stephen Gerard Schroeder | Optometrist | 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 | 2006-12-13 |
| 1194821041 | Derek B. Hauser | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2006-09-16 |
| 1912017567 | Costco Wholesale Corporation | Pharmacy | 29315 Central Ave, Lake Elsinore, CA 92532 | 2006-08-30 |
| 1952331217 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 29985 Canyon Hills Road, Lake Elsinore, CA 92532 | 2006-07-03 |
| 1467709642 | Matthew Randall Kanter | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2012-08-07 |
| Find all providers in zip 92532 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205158631 | Riverside Recovery Resources | Clinic/Center | 520 Chaney St, Conference Room, Lake Elsinore, CA 92530-2711 | 2010-02-26 |
| 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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|---|---|---|---|---|
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| 1518573526 | A Ka Center, LLC | Clinic/Center | 4715 Divine Way, La Mesa, CA 91941-6832 | 2020-09-16 |
| 1821602186 | New Bridge Foundation, Inc. | Clinic/Center | 1777 Leroy Avenue, Berkeley, CA 94709-1156 | 2020-09-03 |
| 1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
| 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 | 92532 |
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.