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RANCH CREEK RECOVERY,INC.
NPI 1073147211
Substance Abuse Rehabilitation Facility in Murrieta, CA

Active since February 26, 2020CLIA 05D2117972 · Waiver
36702 DOREEN DR, MURRIETA, CA 92563(951) 696-9200(951) 696-9206 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ranch Creek Recovery,inc. NPPES

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

RANCH CREEK RECOVERY,INC. (NPI 1073147211) is a healthcare organization registered as a substance abuse rehabilitation facility in Murrieta, California and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through August 25, 2026, maintains a secondary practice location in Temecula, and lists Shelly Tichelaar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073147211
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRANCH CREEK RECOVERY,INC.
Location Address36702 DOREEN DRMurrieta, CA 92563-3022
Mailing Address27636 Ynez Rd # 271Temecula, CA 92591-5600 · (714) 396-5413
Phone(951) 696-9200
Fax(951) 696-9206
Organization SubpartNo
Authorized OfficialShelly TichelaarCeo · (951) 696-9200
Enumeration DateFebruary 26, 2020
✔ NPI 1073147211 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.
36702 DOREEN DR, Murrieta, CA 92563
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Secondary Practice Location 1

Location 143264 Business Park Dr Ste 101Temecula, CA 92590-3646 · Phone (951) 696-9200 · Fax (951) 696-9206

Other Identifiers 1

Other1538459060Npi Number

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 05D2117972

Ranch Creek Recovery, Inc · Murrieta, CA
Active · expires Aug 25, 2026
CLIA Number05D2117972
Laboratory TypeInpatient Rehab
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorWelim Azinge, MD
Laboratory Phone(951) 696-9200
Laboratory LocationRanch Creek Recovery, Inc25650 Bass Point, Murrieta, CA 92562
CLIA data matches this NPI record on: 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 Ranch Creek Recovery,inc.'s NPI number?

The NPI number for Ranch Creek Recovery,inc. is 1073147211. It was assigned to this organization in the NPPES registry on February 26, 2020.

Where is Ranch Creek Recovery,inc. located?

Ranch Creek Recovery,inc. is located at 36702 Doreen Dr, Murrieta, CA 92563. The listed phone number is (951) 696-9200.

What is Ranch Creek Recovery,inc.'s specialty?

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

Does Ranch Creek Recovery,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2117972) is associated with this NPI, valid through August 25, 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 Ranch Creek Recovery,inc. was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.