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INDAH RECOVERY LLC
NPI 1417531237
Substance Abuse Rehabilitation Facility in Dana Point, CA

Active since May 07, 2021CLIA 05D2269169 · Waiver
35492 DEL REY, DANA POINT, CA 92624(818) 294-5019 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Indah Recovery Llc NPPES

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

INDAH RECOVERY LLC (NPI 1417531237) is a healthcare organization registered as a substance abuse rehabilitation facility in Dana Point, California and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Danny Rizkallah, Program Director, as its authorized official.

NPPES Registry Identity

NPI1417531237
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameINDAH RECOVERY LLC
Location Address35492 DEL REYDana Point, CA 92624-1836
Mailing Address5825 Lincoln Ave Ste D-613Buena Park, CA 90620-3463
Phone(818) 294-5019
Organization SubpartNo
Authorized OfficialDanny RizkallahProgram Director · (818) 294-5019
Enumeration DateMay 7, 2021
NPPES CertifiedMay 7, 2021
✔ NPI 1417531237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
35492 DEL REY, Dana Point, CA 92624
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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 05D2269169

Indah Recovery · Dana Point, CA
Active · expires Sep 20, 2026
CLIA Number05D2269169
Laboratory TypeSubstance Abuse Res Detox
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorSanjai M. Thankachen
Laboratory Phone(949) 503-3413
Laboratory LocationIndah Recovery35492 Del Rey, Dana Point, CA 92624
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCEANWAY TREATMENT CENTER, LLC
Substance Abuse Rehabilitation Facility
35492 DEL REY
DANA POINT, CA 92624
Orange County (949) 279-1165

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 Indah Recovery LLC's NPI number?

The NPI number for Indah Recovery LLC is 1417531237. It was assigned to this organization in the NPPES registry on May 7, 2021.

Where is Indah Recovery LLC located?

Indah Recovery LLC is located at 35492 Del Rey, Dana Point, CA 92624. The listed phone number is (818) 294-5019.

What is Indah Recovery LLC's specialty?

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

Does Indah Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2269169) is associated with this NPI, valid through September 20, 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 Indah Recovery LLC was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.