BLUESTONE RECOVERY, INC. (NPI# 1578962114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578962114 |
| Entity Type | Organization |
| Organization Name | BLUESTONE RECOVERY, INC. |
| Practice Address |
1660 Chicago Ave Ste M11 Riverside CA 92507-2033 |
| Practice Telephone | 9518230540 |
| Practice Fax Number | 9518230541 |
| Mailing Telephone | 9518230540 |
| Mailing Fax Number | 9518230541 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | MR. MICHAEL J LYONS (CEO) |
| Authorized Official Telephone | 9515362213 |
| Authorized Official Credential | LAADAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 360107BP | CA | Residential Treatment Facilities |
| N | 251S00000X | Community/Behavioral Health | 330127AP | CA | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
330127AP | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902345705 | Bluestone Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1660 Chicago Ave Ste M11, Riverside, CA 92507-2033 | 2017-02-14 |
| Street Address |
1660 CHICAGO AVE STE M11 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902345705 | Bluestone Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1660 Chicago Ave Ste M11, Riverside, CA 92507-2033 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166296 | Pes-ebs.inc. | Clinic/Center | 2060 Chicago Ave Ste A9, Riverside, CA 92507-2316 | 2018-12-24 |
| 1356719777 | Clear Vision Out Patient Recovery Center | Clinic/Center | 6886 Magnolia Ave, Riverside, CA 92506-2843 | 2015-09-02 |
| 1922373331 | Riverside Recovery Resources | Clinic/Center | 5656 Mission Blvd, Jarupa Valley Youth Oppertunity Center, Riverside, CA 92509-4404 | 2012-03-19 |
| 1720375314 | Riverside Recovery Resources | Clinic/Center | 6836 34th St, Nuevo Vista Continuation, Riverside, CA 92509-1301 | 2011-07-01 |
| 1730414707 | Riverside Recovery Resources | Clinic/Center | 3757 Elizabeth St, Riverside, CA 92506-2508 | 2009-10-08 |
| 1659895290 | Addiction Treatment and Family Therapy Center Inc. | Clinic/Center | 5887 Brockton Ave Ste A, Riverside, CA 92506-1858 | 2017-07-26 |
| 1811393044 | Brisas Iop, LLC | Clinic/Center | 5700 Division St, Ste 200, Riverside, CA 92506-3257 | 2014-11-17 |
| 1881969285 | Riverside Recovery Resources | Clinic/Center | 9825 County Farm Rd, Grind Staff, Riverside, CA 92503-3504 | 2012-03-19 |
| 1679851513 | Riverside Recovery Resources | Clinic/Center | 6511 Arlington Ave, Arlington Regional Learning Center, Riverside, CA 92504-1973 | 2011-07-26 |
| 1932491271 | St Mary LLC | Clinic/Center | 6896 Magnolia Ave, Riverside, CA 92506-2843 | 2011-05-04 |
| Find all providers in RIVERSIDE | ||||
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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.