1. Home
  2. Directory
  3. California
  4. Fresno
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

MY TIME RECOVERY, LLC
NPI 1023626694
Substance Abuse Rehabilitation Facility in Fresno, CA

Active since July 20, 2020CLIA Certified · 3 labs
1015 E INDIANAPOLIS AVE, FRESNO, CA 93704(702) 419-2592 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About My Time Recovery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY TIME RECOVERY, LLC (NPI 1023626694) is a healthcare organization registered as a substance abuse rehabilitation facility in Fresno, California and active in the NPI registry since July 2020. The organization holds 3 active CLIA laboratory certificates and lists Nicole Nygren, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1023626694
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMY TIME RECOVERY, LLC
Location Address1015 E INDIANAPOLIS AVEFresno, CA 93704-3819
Mailing Address83 E Shaw AveFresno, CA 93710-7620
Phone(702) 419-2592
Organization SubpartYesParent: My Time Recovery, Llc.
Authorized OfficialNicole NygrenOperations Manager · (702) 419-2592
Enumeration DateJuly 20, 2020
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1023626694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
1015 E INDIANAPOLIS AVE, Fresno, CA 93704
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2301249

My Time Recovery LLC · Fresno, CA
Active · expires Mar 21, 2028
CLIA Number05D2301249
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorAlva Alejandro
Laboratory Phone(559) 721-2042
Laboratory LocationMy Time Recovery LLC83 E Shaw Ave Ste 200, Fresno, CA 93710
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2156028

My Time Recovery LLC · Fresno, CA
Active · expires Oct 8, 2026
CLIA Number05D2156028
Laboratory TypeInpatient Rehab
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorSonal P. Patel
Laboratory Phone(559) 293-4387
Laboratory LocationMy Time Recovery LLC83 E Shaw Ave Ste 202, Fresno, CA 93710
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2156026

My Time Recovery LLC · Fresno, CA
Active · expires Oct 8, 2026
CLIA Number05D2156026
Laboratory TypeInpatient Rehab
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorSonal Patel
Laboratory Phone(559) 293-4387
Laboratory LocationMy Time Recovery LLC1107 W Rialto, Fresno, CA 93710
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Time Recovery, LLC's NPI number?

The NPI number for My Time Recovery, LLC is 1023626694. It was assigned to this organization in the NPPES registry on July 20, 2020.

Where is My Time Recovery, LLC located?

My Time Recovery, LLC is located at 1015 E Indianapolis Ave, Fresno, CA 93704. The listed phone number is (702) 419-2592.

What is My Time Recovery, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does My Time Recovery, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for My Time Recovery, LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.