MY TIME RECOVERY, LLC
NPI 1265288393
Substance Abuse Rehabilitation Facility in Fresno, CA

Active since April 29, 2024CLIA 05D2301247 · Waiver
5260 N BRYN MAWR DR, FRESNO, CA 93711(559) 840-0896(559) 282-3102 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About My Time Recovery, Llc NPPES

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

MY TIME RECOVERY, LLC (NPI 1265288393) is a healthcare organization registered as a substance abuse rehabilitation facility in Fresno, California and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Scott Sample, Owner, as its authorized official.

NPPES Registry Identity

NPI1265288393
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMY TIME RECOVERY, LLC
Location Address5260 N BRYN MAWR DRFresno, CA 93711-2808
Mailing Address83 E Shaw Ave Ste 200Fresno, CA 93710-7624 · (559) 840-0896 · Fax (559) 282-3102
Fax(559) 282-3102
Organization SubpartYes
Authorized OfficialScott SampleOwner · (559) 392-0241
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1265288393 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.
5260 N BRYN MAWR DR, Fresno, CA 93711

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 05D2301247

My Time Recovery LLC · Fresno, CA
Active · expires Mar 21, 2028
CLIA Number05D2301247
Laboratory TypeDrug & Alcohol
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorAlva Alejandro
Laboratory Phone(559) 721-2042
Laboratory LocationMy Time Recovery LLC5236 N Bryn Mawr Dr, Fresno, CA 93711
CLIA data matches this NPI record on: Name
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 My Time Recovery, LLC's NPI number?

The NPI number for My Time Recovery, LLC is 1265288393. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is My Time Recovery, LLC located?

My Time Recovery, LLC is located at 5260 N Bryn Mawr Dr, Fresno, CA 93711. The listed phone number is (559) 840-0896.

What is My Time Recovery, LLC's specialty?

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

Does My Time Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2301247) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for My Time Recovery, LLC was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.