RIVERSIDE RECOVERY RESOURCES (NPI# 1437424843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437424843 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RECOVERY RESOURCES |
| Other Organization Name | BETA PROGRAM |
| Practice Address |
13730 Perris Blvd Rcoe Military Academy Moreno Valley CA 92553-4302 |
| Mailing Address |
Po Box 549 Lake Elsinore CA 92531-0549 |
| Practice Telephone | 9512167300 |
| Practice Fax Number | 9512167333 |
| Mailing Telephone | 9512167300 |
| Mailing Fax Number | 9512167333 |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |
| Authorized Official Name | BERNARD L TRUAX II (CEO/BOARD CHAIRMAN) |
| Authorized Official Telephone | 9512167300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beta Program | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1215202635 | Riverside Recovery Resources | Clinic/Center | 41125 Winchester Rd Ste B2, Rcoe Cal Safe Temecula, Temecula, CA 92591-6045 | 2012-03-19 |
| Street Address |
13730 PERRIS BLVD RCOE MILITARY ACADEMY |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316234552 | Riverside Recovery Resources | Clinic/Center | 25067 Bay Ave, Riverside County Probation School, Moreno Valley, CA 92553 | 2011-07-08 |
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| 1184230328 | Recovery & Resilience Centers | Clinic/Center | 1665 Creekside Dr Ste 100, Folsom, CA 95630-3538 | 2020-09-22 |
| 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 | MORENO VALLEY |
| Zip Code | 92553 |
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.