REVIVING YOU RECOVERY HOUSE LLC
NPI 1770158545
Substance Abuse Rehabilitation Facility in Menifee, CA
About Reviving You Recovery House Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVING YOU RECOVERY HOUSE LLC (NPI 1770158545) is a healthcare organization registered as a substance abuse rehabilitation facility in Menifee, California and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Dustin Hensley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2280167
Reviving You Recovery House · Menifee, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MENIFEE, CA 92584
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 Reviving You Recovery House LLC's NPI number?
The NPI number for Reviving You Recovery House LLC is 1770158545. It was assigned to this organization in the NPPES registry on May 25, 2021.
Where is Reviving You Recovery House LLC located?
Reviving You Recovery House LLC is located at 28889 Park Trail Way, Menifee, CA 92584. The listed phone number is (760) 420-6654.
What is Reviving You Recovery House LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Reviving You Recovery House LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2280167) is associated with this NPI, valid through April 12, 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 Reviving You Recovery House LLC was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Reviving You Recovery House Llc · NPI 1770158545
Substance Abuse Rehabilitation Facility organization in Menifee, California. Organization record, active in the CMS NPPES registry since May 25, 2021.
## Identity
- **NPI:** 1770158545 (Entity type: Organization)
- **Enumerated:** May 25, 2021
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Dustin Hensley, OWNER
## Practice location
- **Address:** 28889 PARK TRAIL WAY, Menifee, CA 92584-7395
- **Phone:** (760) 420-6654
## Record status
- **NPPES last updated:** May 25, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770158545) · Data from the CMS NPPES public registry.