PROVIDENCE RECOVERY CENTERS, INC.
NPI 1114549144
Substance Abuse Rehabilitation Facility in Moreno Valley, CA

Active since May 13, 2020
11165 BONNIE VIEW AVE, MORENO VALLEY, CA 92555(951) 221-1805(951) 422-3384 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Recovery Centers, Inc. NPPES

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

PROVIDENCE RECOVERY CENTERS, INC. (NPI 1114549144) is a healthcare organization registered as a substance abuse rehabilitation facility in Moreno Valley, California and active in the NPI registry since May 2020. The organization lists Stacy Jo Dorsey, Executive Director/coo, as its authorized official.

NPPES Registry Identity

NPI1114549144
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePROVIDENCE RECOVERY CENTERS, INC.
Location Address11165 BONNIE VIEW AVEMoreno Valley, CA 92555
Mailing Address28728 Kalmia AveMoreno Valley, CA 92555 · (951) 221-1805 · Fax (951) 422-3384
Fax(951) 422-3384
Organization SubpartNo
Authorized OfficialStacy Jo DorseyExecutive Director/coo · (951) 221-1805
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
NPI 1114549144 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.

11165 BONNIE VIEW AVE, Moreno Valley, CA 92555

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 Providence Recovery Centers, Inc.'s NPI number?

The NPI number for Providence Recovery Centers, Inc. is 1114549144. It was assigned to this organization in the NPPES registry on May 13, 2020.

Where is Providence Recovery Centers, Inc. located?

Providence Recovery Centers, Inc. is located at 11165 Bonnie View Ave, Moreno Valley, CA 92555. The listed phone number is (951) 221-1805.

What is Providence Recovery Centers, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Providence Recovery Centers, Inc. was last updated on May 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.