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WHITESIDE MANOR, PALM FACILITY
NPI 1467902502
Substance Abuse Rehabilitation Facility in Riverside, CA

Active since October 13, 2016
4750 PALM AVE, RIVERSIDE, CA 92501(951) 788-9515 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Whiteside Manor, Palm Facility NPPES

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

WHITESIDE MANOR, PALM FACILITY (NPI 1467902502) is a healthcare organization registered as a substance abuse rehabilitation facility in Riverside, California and active in the NPI registry since October 2016. The organization lists Dori Dotson, Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1467902502
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWHITESIDE MANOR, PALM FACILITY
Location Address4750 PALM AVERiverside, CA 92501-4012
Mailing Address2743 Orange StRiverside, CA 92501-2538 · (951) 788-9515
Phone(951) 788-9515
Organization SubpartYesParent: Whiteside Manor
Authorized OfficialDori DotsonAdministrative Manager · (951) 847-8010
Enumeration DateOctober 13, 2016
✔ NPI 1467902502 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.
4750 PALM AVE, Riverside, CA 92501
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Other Providers at the Same Location NPPES 19

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

TEDDI LYNN MCELVAIN R1464950422
Counselor (Addiction (Substance Use Disorder))
4750 PALM AVE
RIVERSIDE, CA 92501
Riverside County (951) 686-0021
MONICA FLORES
Counselor (Addiction (Substance Use Disorder))
4750 PALM AVE
RIVERSIDE, CA 92501
Riverside County (951) 686-0021
SAMANTHA ROBINSON
Counselor (Addiction (Substance Use Disorder))
4750 PALM AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-9515
ANGELA JEAN CHAVEZ LCSW
Social Worker (Clinical)
4750 PALM AVE
RIVERSIDE, CA 92501
Riverside County (951) 686-0021
DANIELLE SIMMOORE LVN
Licensed Vocational Nurse
4750 PALM AVE
RIVERSIDE, CA 92501
Riverside County (951) 686-0021
TRISHA WALDECKER
Licensed Vocational Nurse
4750 PALM AVE
RIVERSIDE, CA 92501
Riverside County (951) 686-0021
MS. DAISY JASMIN TAPIA I LVN
Licensed Vocational Nurse
4750 PALM AVE
RIVERSIDE, CA 92501
Riverside County (800) 300-7326
MYRRA MARIE STOCKMAN CATCI
Counselor (Addiction (Substance Use Disorder))
4750 PALM AVE
RIVERSIDE, CA 92501
Riverside County (951) 686-0021

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 Whiteside Manor, Palm Facility's NPI number?

The NPI number for Whiteside Manor, Palm Facility is 1467902502. It was assigned to this organization in the NPPES registry on October 13, 2016.

Where is Whiteside Manor, Palm Facility located?

Whiteside Manor, Palm Facility is located at 4750 Palm Ave, Riverside, CA 92501. The listed phone number is (951) 788-9515.

What is Whiteside Manor, Palm Facility'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 Whiteside Manor, Palm Facility was last updated on October 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.