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PACIFIC MANOR RECOVERY LLC
NPI 1639789035
Substance Abuse Rehabilitation Facility in Riverside, CA

Active since July 31, 2020
3686 PACIFIC AVE, RIVERSIDE, CA 92509(888) 700-5053(949) 209-5490 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Manor Recovery Llc NPPES

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

PACIFIC MANOR RECOVERY LLC (NPI 1639789035) is a healthcare organization registered as a substance abuse rehabilitation facility in Riverside, California and active in the NPI registry since July 2020. The organization lists Tanisha Porreca, Assistant To Ceo, as its authorized official.

NPPES Registry Identity

NPI1639789035
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePACIFIC MANOR RECOVERY LLC
Location Address3686 PACIFIC AVERiverside, CA 92509-1948
Mailing Address3151 Airway Ave Ste E1Costa Mesa, CA 92626-4620 · (888) 700-5053 · Fax (949) 209-5490
Phone(888) 700-5053
Fax(949) 209-5490
Organization SubpartNo
Authorized OfficialTanisha PorrecaAssistant To Ceo · (828) 773-4477
Enumeration DateJuly 31, 2020
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1639789035 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.
3686 PACIFIC AVE, Riverside, CA 92509
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Other Providers at the Same Location NPPES 11

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

PAMELA MILLER
Counselor (Mental Health)
3686 PACIFIC AVE
RIVERSIDE, CA 92509
Riverside County (951) 663-4842
GAIL JUNE TEHAN L.V.N.
Licensed Vocational Nurse
3686 PACIFIC AVE
RIVERSIDE, CA 92509
Riverside County (951) 663-4842
SHANNON L CAMPBELL LVN
Licensed Vocational Nurse
3686 PACIFIC AVE
JURUPA VALLEY, CA 92509
Riverside County (562) 366-6127
JOURNEY BLUE BACA LVN
Licensed Vocational Nurse
3686 PACIFIC AVE
JURUPA VALLEY, CA 92509
Riverside County (888) 700-5053
MARY WINDHAM LVN
Licensed Vocational Nurse
3686 PACIFIC AVE
RIVERSIDE, CA 92509
Riverside County (951) 663-4842
ALICIA GARCIA
Counselor (Mental Health)
3686 PACIFIC AVE
RIVERSIDE, CA 92509
Riverside County (951) 663-4842
AMY L TRESKY
Counselor (Mental Health)
3686 PACIFIC AVE
RIVERSIDE, CA 92509
Riverside County (951) 663-4842
SARAH SYPHERD LVN
Licensed Vocational Nurse
3686 PACIFIC AVE
JURUPA VALLEY, CA 92509
Riverside County (951) 454-2860

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 Pacific Manor Recovery LLC's NPI number?

The NPI number for Pacific Manor Recovery LLC is 1639789035. It was assigned to this organization in the NPPES registry on July 31, 2020.

Where is Pacific Manor Recovery LLC located?

Pacific Manor Recovery LLC is located at 3686 Pacific Ave, Riverside, CA 92509. The listed phone number is (888) 700-5053.

What is Pacific Manor Recovery 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 Pacific Manor Recovery LLC was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.