PH WELLNESS, INC.
NPI 1053135665
Substance Abuse Rehabilitation Facility in Riverside, CA
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2286432
- CLIA Cert. Type: Other - SUBSTANCE TREATMENT FACIL
- CLIA Exp. Date: 07-27-2027
About PH WELLNESS, INC.
This page provides the complete NPI Profile along with additional information for Ph Wellness, Inc., a provider established in Riverside, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1053135665 assigned on November 2024. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Anthony Ferrigno (Billing Manager)
- NPI
- 1053135665 Verify this NPI
- Provider Name
- PH WELLNESS, INC.
- Entity Type
- Organization
- Location Address
- 7770 BROADACRE PL RIVERSIDE, CA 92504
- Location Phone
- (951) 335-5576
- Mailing Address
- 12534 VALLEY VIEW ST STE 169 GARDEN GROVE, CA 92845
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-11-2024
- Last Update Date
- 11-21-2025
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2286432
- Facility Type
- Other - SUBSTANCE TREATMENT FACIL
- Certificate Effective Date
- July 28, 2025
- Certificate Expiration Date
- July 27, 2027
- Laboratory Director
- JISEUNG YOON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ph Wellness, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053135665, enumerated as an "organization" on November 11, 2024.
The provider is located at 7770 BROADACRE PL RIVERSIDE, CA 92504 and the phone number is (951) 335-5576.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
