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RIVERSIDE RECOVERY RESOURCES NPI 1982703773


NPI Information

NPI: 1982703773
Provider Name: RIVERSIDE RECOVERY RESOURCES

Doing Business As: OMEGA/BETA PROGRAM

Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization

CLIA Number: 05D2140845

Address:
600 THIRD STREET
STE C
LAKE ELSINORE, CA
ZIP 92530
Phone: (951) 674-5354
Get Directions

RIVERSIDE RECOVERY RESOURCES is a local education agency lea in Lake Elsinore, CA. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. RIVERSIDE RECOVERY RESOURCES NPI is 1982703773. The provider is registered as an organization entity type.
The provider Is Doing Business As Omega/beta Program.

The provider's business location address is:

600 THIRD STREET
STE C
LAKE ELSINORE, CA
ZIP 92530-000
Phone: (951) 674-5354
Fax: (951) 674-5227

The provider's authorized official is Bernard L Truax .
The authorized official title is Ceo/chairman Of The Board and has the following contact phone number (951) 674-5354.

The CLIA number assigned to this NPI record is 05D2140845 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 2/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)3300090NCALIFORNIANo
2251300000XLocal Education Agency (LEA)330009ONCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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