HIDEAWAY RECOVERY, LLC
NPI 1033813191
Substance Abuse Rehabilitation Facility in Cathedral City, CA

Active since March 30, 2023CLIA 05D2312949 · Waiver
68910 CONCEPCION RD, CATHEDRAL CITY, CA 92234(760) 641-0316 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hideaway Recovery, Llc NPPES

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

HIDEAWAY RECOVERY, LLC (NPI 1033813191) is a healthcare organization registered as a substance abuse rehabilitation facility in Cathedral City, California and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Misty Durnford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033813191
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHIDEAWAY RECOVERY, LLC
Location Address68910 CONCEPCION RDCathedral City, CA 92234-3854
Mailing Address68910 Concepcion RdCathedral City, CA 92234-3854
Organization SubpartNo
Authorized OfficialMisty DurnfordCeo · (760) 641-0316
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
NPI 1033813191 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.
68910 CONCEPCION RD, Cathedral City, CA 92234

CLIA Laboratory Certificates CMS CLIA

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 05D2312949

Hideaway Recovery LLC · Cathedral City, CA
Active · expires Oct 21, 2026
CLIA Number05D2312949
Laboratory TypeMedical Detox Facility
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorSanjai Thankachen
Laboratory Phone(760) 641-0316
Laboratory LocationHideaway Recovery LLC68910 Concepcion Rd, Cathedral City, CA 92234
CLIA data matches this NPI record on: Address Name Phone
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 Hideaway Recovery, LLC's NPI number?

The NPI number for Hideaway Recovery, LLC is 1033813191. It was assigned to this organization in the NPPES registry on March 30, 2023.

Where is Hideaway Recovery, LLC located?

Hideaway Recovery, LLC is located at 68910 Concepcion Rd, Cathedral City, CA 92234. The listed phone number is (760) 641-0316.

What is Hideaway Recovery, LLC's specialty?

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

Does Hideaway Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2312949) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hideaway Recovery, LLC was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.