RISING ROADS RECOVERY
NPI 1336652122
Substance Abuse Rehabilitation Facility in Fountain Valley, CA

NPI Status: Active since November 15, 2017

Contact Information

10605 EL ESTE AVE
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (949) 922-1901

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 05D2121132
  • CLIA Cert. Type: Other - 24/7 SUBSTANCE/RES.
  • CLIA Exp. Date: 10-30-2026

About RISING ROADS RECOVERY

This page provides the complete NPI Profile along with additional information for Rising Roads Recovery, a provider established in Fountain Valley, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1336652122 assigned on November 2017. The practitioner's primary taxonomy code is 324500000X with license number 300659BP (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Rising Roads Recovery. The authorized official of this NPI record is Rebecca A Gatdula (Founder / Ceo)

NPI
1336652122
Provider Legal Name
RISING ROADS RECOVERY SERVICES FOR WOMEN, LLC
Other Organization Name
RISING ROADS RECOVERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10605 EL ESTE AVE FOUNTAIN VALLEY, CA 92708
Location Phone
(949) 922-1901
Mailing Address
3151 AIRWAY AVE STE I3 COSTA MESA, CA 92626
Mailing Phone
(949) 922-1901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2017
Last Update Date
03-05-2024
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Location Map

Secondary Locations

  • 10905 El Domino Ave
    Fountain Valley, CA 92708
    (949) 922-1901
  • 3151 Airway Ave Ste I3
    Costa Mesa, CA 92626
    (949) 922-1901

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
300659BP
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

300659AP (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REBECCA A GATDULA

Authorized Official Title
FOUNDER / CEO
Authorized Official Phone
(714) 673-9007

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
300659DPOTHER (01)CASUBSTANCE ABUSE OP SERVICES
300659APOTHER (01)CASUBSTANCE ABUSE REHAB
300659BPOTHER (01)CASUBSTANCE ABUSE REHAB

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2121132
Facility Type
Other - 24/7 SUBSTANCE/RES.
Certificate Effective Date
October 31, 2024
Certificate Expiration Date
October 30, 2026
Laboratory Director
DR. ANDREW C. SCHNEIDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rising Roads Recovery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336652122
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366125414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 5 + 4 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1336652122 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598508004MS. NOLA GREENBERG
Individual
Behavior Technician10605 EL ESTE AVE
FOUNTAIN VALLEY, CA 92708
(917) 689-0613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336652122, enumerated in the NPI registry as an "organization" on November 15, 2017

The provider is located at 10605 El Este Ave Fountain Valley, Ca 92708 and the phone number is (949) 922-1901

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D2121132 for a "other - 24/7 substance/res." facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 15, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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