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DESTINY RECOVERY NPI 1548718190


NPI Information

NPI: 1548718190
Provider Name: DESTINY RECOVERY

Doing Business As: HATHAWAY RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2153938

Address:
1042 E BELMONT ABBEY LN
CLAREMONT, CA
ZIP 91711
Phone: (909) 971-3333
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DESTINY RECOVERY is a substance abuse rehabilitation facility in Claremont, CA. The provider is 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. DESTINY RECOVERY NPI is 1548718190. The provider is registered as an organization entity type.
The provider Is Doing Business As Hathaway Recovery.

The provider's business location address is:

1042 E BELMONT ABBEY LN
CLAREMONT, CA
ZIP 91711-463
Phone: (909) 971-3333
Fax: (909) 498-9898

The provider's authorized official is Diana Rozenoyer .
The authorized official title is Ceo and has the following contact phone number (909) 971-3333.

The CLIA number assigned to this NPI record is 05D2153938 - other - inpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2016 and was last updated on 1/22/2020.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation Facility190939APCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1621344OTHERCALIFORNIAJAICHO
2190939APOTHERCALIFORNIADHCS

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: 4/28/2024

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