PRIVATE SOLUTION DETOX CORP. (NPI# 1528587292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528587292 |
| Entity Type | Organization |
| Organization Name | PRIVATE SOLUTION DETOX CORP. |
| Practice Address |
72301 Country Club Dr Rancho Mirage CA 92270-8007 |
| Mailing Address |
72301 Country Club Dr Ste 200 Rancho Mirage CA 92270-8013 |
| Practice Telephone | 5094348161 |
| Mailing Telephone | 8052310860 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MRS. JACLYN DUARTE MEADOWS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8054231667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
72301 COUNTRY CLUB DR |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194775528 | Howard S Baer | Specialist | 72301 Country Club Dr, Suite 107, Rancho Mirage, CA 92270-8007 | 2006-05-10 |
| 1134663750 | Sharpline Home Care LLC | Home Health | 72301 Country Club Dr, Suite 113, Rancho Mirage, CA 92270-8007 | 2016-12-16 |
| 1376970228 | Coachella Valley Retina | Ophthalmology | 72301 Country Club Dr, 108, Rancho Mirage, CA 92270-8007 | 2013-10-07 |
| 1003145848 | Tamela Martin Md, Inc. | Ophthalmology | 72301 Country Club Dr, Suite 105, Rancho Mirage, CA 92270-8007 | 2009-12-07 |
| 1154659472 | Carole A Van Straten | Hearing Instrument Specialist | 72301 Country Club Dr, Ste 112, Rancho Mirage, CA 92270-8007 | 2009-11-24 |
| 1023289840 | Desert Dermatology Medical Assoiates Inc | Specialist | 72301 Country Club Dr, Suite101, Rancho Mirage, CA 92270-8007 | 2008-03-19 |
| 1427114818 | Sleepmed of California | Durable Medical Equipment & Medical Supplies | 72301 Country Club Dr, Ste 108, Rancho Mirage, CA 92270-8007 | 2006-12-29 |
| 1851462527 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 72301 Country Club Dr, Rancho Mirage, CA 92270-8007 | 2006-11-13 |
| 1366520140 | Camille M. Harrison | Ophthalmology | 72301 Country Club Dr, Suite 108, Rancho Mirage, CA 92270-8007 | 2006-11-01 |
| 1871688200 | Tamela Ann Martin | Ophthalmology | 72301 Country Club Dr, Suite 105, Rancho Mirage, CA 92270-8007 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| 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 |
|---|---|---|---|---|
| 1891846325 | The Betty Ford Center At Eisenhower | Substance Abuse Rehabilitation Facility | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2007-01-12 |
| 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 | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on PRIVATE SOLUTION DETOX CORP..
| 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.