417 RECOVERY
NPI 1750817383
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Palm Desert, CA

Active since May 02, 2017CLIA 05D2330599 · Waiver
74075 EL PASEO STE A5, PALM DESERT, CA 92260(760) 565-2998(442) 282-1100 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2023, Sep 6, 2023, Jul 2, 2019 (3 updates tracked since 2019).

About 417 Recovery NPPES

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

417 RECOVERY (NPI 1750817383) is a healthcare organization registered as a substance abuse treatment, children in Palm Desert, California and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Stevie Kuhn, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1750817383
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business Name417 DESERT CITIES, LLC
Location Address74075 EL PASEO STE A5Palm Desert, CA 92260-4118
Mailing Address74075 El Paseo Ste A5Palm Desert, CA 92260-4118 · (760) 565-2998 · Fax (442) 282-1100
Fax(442) 282-1100
Organization SubpartNo
Authorized OfficialStevie KuhnOwner/partner · (760) 565-2998
Enumeration DateMay 2, 2017
Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1750817383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
74075 EL PASEO STE A5, Palm Desert, CA 92260

Other Names 1

Doing Business As417 Recovery

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 05D2330599

417 Desert Cities · Palm Desert, CA
Active · expires Sep 17, 2027
CLIA Number05D2330599
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorAlejandro Alva
Laboratory Phone(844) 417-3417
Laboratory Location417 Desert Cities74075 El Paseo Suite A5, Palm Desert, CA 92260
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 417 Desert Cities, LLC's NPI number?

The NPI number for 417 Desert Cities, LLC is 1750817383. It was assigned to this organization in the NPPES registry on May 2, 2017. The provider is doing business as 417 Recovery.

Where is 417 Desert Cities, LLC located?

417 Desert Cities, LLC is located at 74075 El Paseo Ste A5, Palm Desert, CA 92260. The listed phone number is (760) 565-2998.

What is 417 Desert Cities, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does 417 Desert Cities, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2330599) is associated with this NPI, valid through September 17, 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 417 Desert Cities, LLC was last updated on December 6, 2023. 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.