EXECUTIVE RESIDENTIAL CARE & RECOVERY LLC
NPI 1063131407
Community Based Residential Treatment Facility, Mental Illness in Rancho Mirage, CA

Q: What is Executive Residential Care & Recovery LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since August 26, 2022

70806 HALPER LAKE DR, RANCHO MIRAGE, CA 92270(760) 832-8810 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Executive Residential Care & Recovery Llc NPPES

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

EXECUTIVE RESIDENTIAL CARE & RECOVERY LLC (NPI 1063131407), doing business as Synergy Estate, is a healthcare organization registered as a community based residential treatment facility, mental illness in Rancho Mirage, California and active in the NPI registry since August 2022. The organization lists Tammy Mora, Assoc. Director Of Patient Acct, as its authorized official.

NPPES Registry Identity

NPI1063131407

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameEXECUTIVE RESIDENTIAL CARE & RECOVERY LLC

Location Address70806 HALPER LAKE DRRancho Mirage, CA 92270-2523

Mailing Address11627 Telegraph Rd Ste 200Santa Fe Springs, CA 90670-6814 · (562) 576-1284 · Fax (562) 861-0883

Phone(760) 832-8810

Organization SubpartNo

Authorized OfficialTammy MoraAssoc. Director Of Patient Acct · (562) 576-1284

Enumeration DateAugust 26, 2022

NPPES CertifiedAugust 26, 2022

✔ NPI 1063131407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

70806 HALPER LAKE DR, Rancho Mirage, CA 92270

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Other Names 1

Doing Business AsSynergy Estate

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 Executive Residential Care & Recovery LLC's NPI number?

The NPI number for Executive Residential Care & Recovery LLC is 1063131407. It was assigned to this organization in the NPPES registry on August 26, 2022. The provider is doing business as Synergy Estate.

Where is Executive Residential Care & Recovery LLC located?

Executive Residential Care & Recovery LLC is located at 70806 Halper Lake Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 832-8810.

What is Executive Residential Care & Recovery LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Executive Residential Care & Recovery LLC was last updated on August 26, 2022. 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.