417 RECOVERY – NPI #1750817383
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

417 RECOVERY is a substance abuse rehabilitation facility located in PALM DESERT, CA. NPPES has assigned the NPI number 1750817383 to 417 RECOVERY on May 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “417 RECOVERY” is a dba name, the actual legal business name for this organization is 417 DESERT CITIES, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 2 years ago on Dec 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 417 RECOVERY below.

NPI Profile for
417 DESERT CITIES, LLC

NPI Number
1750817383
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
417 DESERT CITIES, LLC
Doing Business As (dba): 417 RECOVERY
Primary location
74075 EL PASEO STE A5
PALM DESERT, CA 92260-4118
Phone: (760) 565-2998 Fax: (442) 282-1100
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVIE KUHN
OWNER/PARTNER
Phone: (760) 565-2998
Updated
Certification Date
Dec 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.