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RANCHO RECOVERY LLC
NPI 1700560695
Substance Abuse Rehabilitation Facility in Rancho Cucamonga, CA

Active since June 12, 2023CLIA 05D2284442 · Waiver
13684 JEREMY CT, RANCHO CUCAMONGA, CA 91739(909) 476-2023(909) 697-2900 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rancho Recovery Llc NPPES

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

RANCHO RECOVERY LLC (NPI 1700560695) is a healthcare organization registered as a substance abuse rehabilitation facility in Rancho Cucamonga, California and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Samuel Phillips, Controller, as its authorized official.

NPPES Registry Identity

NPI1700560695
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRANCHO RECOVERY LLC
Location Address13684 JEREMY CTRancho Cucamonga, CA 91739-2031
Mailing Address333 E Arrow Hwy Unit 220Upland, CA 91785-7008 · (909) 476-2023 · Fax (909) 697-2900
Phone(909) 476-2023
Fax(909) 697-2900
Organization SubpartNo
Authorized OfficialSamuel PhillipsController · (909) 292-6827
Enumeration DateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1700560695 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.
13684 JEREMY CT, Rancho Cucamonga, CA 91739
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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 05D2284442

Rancho Recovery LLC · Rancho Cucamonga, CA
Active · expires Jun 21, 2027
CLIA Number05D2284442
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorMichael Valdez
Laboratory Phone(909) 476-2023
Laboratory LocationRancho Recovery LLC13684 Jeremy Ct, Rancho Cucamonga, CA 91739
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MS. SARAH KATHERINE CRUZ SUDRC
Counselor (Addiction (Substance Use Disorder))
13684 JEREMY CT
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 803-0376
MRS. MARGIANNE ISAIA CLINICAL COUNSELING
Counselor (Professional)
13684 JEREMY CT
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 803-0376
MR. KENNETH FILLMORE
Counselor (Addiction (Substance Use Disorder))
13684 JEREMY CT
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 476-2023
DANIELLE DEAN
Counselor (Addiction (Substance Use Disorder))
13684 JEREMY CT
RANCHO CUCAMONGA, CA 91739
San Bernardino County (949) 324-5655
RUBEN JOSE MUNOZ A061931122
Counselor (Addiction (Substance Use Disorder))
13684 JEREMY CT
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 803-0376
JAMES WILLIAM CULP RADT
Counselor (Addiction (Substance Use Disorder))
13684 JEREMY CT
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 803-0376
JACQUELINE DE OCA
Counselor (Addiction (Substance Use Disorder))
13684 JEREMY CT
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 803-0376
DIONTRE JOHNSON
Counselor (Addiction (Substance Use Disorder))
13684 JEREMY CT
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 803-0376

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 Rancho Recovery LLC's NPI number?

The NPI number for Rancho Recovery LLC is 1700560695. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Rancho Recovery LLC located?

Rancho Recovery LLC is located at 13684 Jeremy Ct, Rancho Cucamonga, CA 91739. The listed phone number is (909) 476-2023.

What is Rancho Recovery LLC's specialty?

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

Does Rancho Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2284442) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rancho Recovery LLC was last updated on June 12, 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.