PACIFIC MANOR RECOVERY LLC
NPI 1639789035
Substance Abuse Rehabilitation Facility in Riverside, CA
NPI Status: Active since July 31, 2020
Contact Information
3686 PACIFIC AVE
RIVERSIDE, CA
ZIP 92509
Phone: (888) 700-5053
Fax: (949) 209-5490
- Organization
- Substance Abuse Rehabilitation Facility
About PACIFIC MANOR RECOVERY LLC
This page provides the complete NPI Profile along with additional information for Pacific Manor Recovery Llc, a provider established in Riverside, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1639789035 assigned on July 2020. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Tanisha Porreca (Assistant To Ceo)
- NPI
- 1639789035
- Provider Name
- PACIFIC MANOR RECOVERY LLC
- Entity Type
- Organization
- Location Address
- 3686 PACIFIC AVE RIVERSIDE, CA 92509
- Location Phone
- (888) 700-5053
- Location Fax
- (949) 209-5490
- Mailing Address
- 3151 AIRWAY AVE STE E1 COSTA MESA, CA 92626
- Mailing Phone
- (888) 700-5053
- Mailing Fax
- (949) 209-5490
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-31-2020
- Last Update Date
- 08-30-2021
- Code Navigator
Location Map
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
- 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.
Reviews for PACIFIC MANOR RECOVERY LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 6 | 3 | 9 | 7 | 8 | 9 | 0 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 14 | 8 | 18 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 4 + 8 + 1 + 8 + 0 + 6 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1639789035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619142684 | AMY L TRESKY Individual | Counselor (Mental Health) | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (951) 663-4842 |
| 1376718346 | GAIL JUNE TEHAN L.V.N. Individual | Licensed Vocational Nurse | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (951) 663-4842 |
| 1609043728 | ALICIA GARCIA Individual | Counselor (Mental Health) | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (951) 663-4842 |
| 1205003225 | PAMELA MILLER Individual | Counselor (Mental Health) | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (951) 663-4842 |
| 1972770394 | TJHOMAS M DAVIS Individual | Counselor (Mental Health) | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (951) 663-4842 |
| 1558521740 | MARY WINDHAM LVN Individual | Licensed Vocational Nurse | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (951) 663-4842 |
| 1992967962 | EVANGELINE RUSSELL LVN Individual | Licensed Vocational Nurse | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (951) 801-2913 |
| 1801027651 | DESTINEE ANTILLON PROGRAM ADMINISTRATO Individual | Counselor (Mental Health) | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (951) 801-2914 |
| 1891182002 | MRS. SHETERAH BURNETT-WRENN LVN Individual | Community Based Residential Treatment Facility, Mental Illness | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (951) 801-2913 |
| 1942957881 | RESURGENCE CALIFORNIA, LLC Organization | Substance Abuse Rehabilitation Facility | 3686 PACIFIC AVE RIVERSIDE, CA 92509 (888) 700-5053 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639789035, enumerated in the NPI registry as an "organization" on July 31, 2020
The provider is located at 3686 Pacific Ave Riverside, Ca 92509 and the phone number is (888) 700-5053
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
This NPI record was last updated on July 31, 2020. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.