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209 RECOVERY LLC
NPI 1700621901
Clinic/Center - Rehabilitation, Substance Use Disorder in Modesto, CA

Active since June 28, 2024
1101 STANDIFORD AVE # D1B, MODESTO, CA 95350(559) 231-2700 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 209 Recovery Llc NPPES

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

209 RECOVERY LLC (NPI 1700621901) is a healthcare organization registered as a rehabilitation, substance use disorder in Modesto, California and active in the NPI registry since June 2024. The organization lists Scott Sample, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1700621901
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business Name209 RECOVERY LLC
Location Address1101 STANDIFORD AVE # D1BModesto, CA 95350-0982
Mailing Address2915 Red Hill Ave Ste A200Costa Mesa, CA 92626-7978
Phone(559) 231-2700
Organization SubpartNo
Authorized OfficialScott SampleAuthorized Official · (559) 231-2700
Enumeration DateJune 28, 2024
NPPES CertifiedJune 28, 2024
✔ NPI 1700621901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1101 STANDIFORD AVE # D1B, Modesto, CA 95350
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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 209 Recovery LLC's NPI number?

The NPI number for 209 Recovery LLC is 1700621901. It was assigned to this organization in the NPPES registry on June 28, 2024.

Where is 209 Recovery LLC located?

209 Recovery LLC is located at 1101 Standiford Ave # D1b, Modesto, CA 95350. The listed phone number is (559) 231-2700.

What is 209 Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for 209 Recovery LLC was last updated on June 28, 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.