PURA VIDA RECOVERY SERVICES
NPI 1194439430
Substance Abuse Rehabilitation Facility in Santa Rosa, CA

Q: What is Pura Vida Recovery Services, LLC's NPI number?

The NPI number for Pura Vida Recovery Services, LLC is 1194439430. It was assigned to this organization in the NPPES registry on January 11, 2023. The provider is doing business as Pura Vida Recovery Services.

Q: What is Pura Vida Recovery Services, LLC's specialty?

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

Active since January 11, 2023

5761 MOUNTAIN HAWK DR STE 201, SANTA ROSA, CA 95409(707) 879-8432(844) 426-0134 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2023, Jan 11, 2023 (2 updates tracked since 2023).

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About Pura Vida Recovery Services NPPES

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

PURA VIDA RECOVERY SERVICES (NPI 1194439430) is a healthcare organization registered as a substance abuse rehabilitation facility in Santa Rosa, California and active in the NPI registry since January 2023. The organization lists Ben A Pahlavan, Cao, as its authorized official.

NPPES Registry Identity

NPI1194439430

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePURA VIDA RECOVERY SERVICES, LLC

Location Address5761 MOUNTAIN HAWK DR STE 201Santa Rosa, CA 95409-4454

Mailing Address130 Stony Point Rd Ste JSanta Rosa, CA 95401-4120 · (707) 879-8432 · Fax (844) 426-0134

Phone(707) 879-8432

Fax(844) 426-0134

Organization SubpartNo

Authorized OfficialBen A PahlavanCao · (707) 879-8432

Enumeration DateJanuary 11, 2023

Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration

NPPES CertifiedMarch 8, 2023

✔ NPI 1194439430 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.

5761 MOUNTAIN HAWK DR STE 201, Santa Rosa, CA 95409

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Other Names 1

Doing Business AsPura Vida Recovery Services

Other Identifiers 1

Other490041BPCA · Ca Dhcs

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 Pura Vida Recovery Services, LLC's NPI number?

The NPI number for Pura Vida Recovery Services, LLC is 1194439430. It was assigned to this organization in the NPPES registry on January 11, 2023. The provider is doing business as Pura Vida Recovery Services.

Where is Pura Vida Recovery Services, LLC located?

Pura Vida Recovery Services, LLC is located at 5761 Mountain Hawk Dr Ste 201, Santa Rosa, CA 95409. The listed phone number is (707) 879-8432.

What is Pura Vida Recovery Services, LLC'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 Pura Vida Recovery Services, LLC was last updated on March 8, 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.