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BANYAN PALM SPRINGS LLC
NPI 1851932214
Substance Abuse Rehabilitation Facility in Cathedral City, CA

Active since October 07, 2019CLIA Certified · 3 labs
67580 JONES RD, CATHEDRAL CITY, CA 92234(760) 616-5800(760) 673-7443 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Feb 17, 2023, Dec 9, 2022 and 1 more (4 updates tracked since 2019).

About Banyan Palm Springs Llc NPPES

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

BANYAN PALM SPRINGS LLC (NPI 1851932214) is a healthcare organization registered as a substance abuse rehabilitation facility in Cathedral City, California and active in the NPI registry since October 2019. The organization holds 3 active CLIA laboratory certificates and lists John Sory, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851932214
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBANYAN PALM SPRINGS LLC
Location Address67580 JONES RDCathedral City, CA 92234-6401
Mailing Address225 N Federal HwyPompano Beach, FL 33062-4319 · (954) 781-7173 · Fax (954) 781-7173
Phone(760) 616-5800
Fax(760) 673-7443
Organization SubpartNo
Authorized OfficialJohn SoryCeo · (954) 533-7705
Enumeration DateOctober 7, 2019
Last NPPES UpdateMay 13, 20254 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1851932214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
67580 JONES RD, Cathedral City, CA 92234
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CLIA Laboratory Certificates CMS CLIA 3

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 05D2181771

Banyan Palm Springs LLC · Cathedral City, CA
Active · expires Apr 9, 2028
CLIA Number05D2181771
Laboratory TypeSud Treatment Facility
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorDarrin Mangiacarne
Laboratory Phone(954) 533-7705
Laboratory LocationBanyan Palm Springs LLC67580 Jones Road, Cathedral City, CA 92234
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2182506

Banyan Palm Springs, LLC · Palm Desert, CA
Active · expires Apr 21, 2028
CLIA Number05D2182506
Laboratory TypeDhcs Sud Treat Facility
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorDr. Darrin Mangiacarne
Laboratory Phone(954) 533-7705
Laboratory LocationBanyan Palm Springs, LLC73771 Dinah Shore Drive Suite 200, Palm Desert, CA 92211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2182507

Banyan Palm Springs, LLC · Palm Desert, CA
Active · expires Apr 21, 2028
CLIA Number05D2182507
Laboratory TypeSud Treatment
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorDr. Darrin Mangiacarne
Laboratory Phone(954) 533-7705
Laboratory LocationBanyan Palm Springs, LLC73758 Shadow Mountian, Palm Desert, CA 92260
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

JENNIFER MENDOZA LMFT
Marriage & Family Therapist
67580 JONES RD
CATHEDRAL CITY, CA 92234
Riverside County (760) 475-3747
GINA M CARAVAGLIA DO
Family Medicine (Addiction Medicine)
67580 JONES RD
CATHEDRAL CITY, CA 92234
Riverside County (760) 992-3473
CATHEDRAL CITY PALMS, LLC
Substance Abuse Rehabilitation Facility
67580 JONES RD
CATHEDRAL CITY, CA 92234
Riverside County (760) 969-4140
BHS LABORATORY SERVICES OF CALIFORNIA LLC
Substance Abuse Rehabilitation Facility
67580 JONES RD
CATHEDRAL CITY, CA 92234
Riverside County (760) 969-4150
BEHAVIORAL HEALTH SOLUTIONS OF CALIFORNIA, LLC
Substance Abuse Rehabilitation Facility
67580 JONES RD
CATHEDRAL CITY, CA 92234
Riverside County (760) 969-4140
BHS PHYSICIAN SERVICES OF CALIFORNIA PC
Psychiatry & Neurology (Addiction Medicine)
67580 JONES RD
CATHEDRAL CITY, CA 92234
Riverside County (973) 330-9415
COMPASS HEALTH SYSTEMS OF CALIFORNIA INC
Psychiatry & Neurology (Psychiatry)
67580 JONES RD
CATHEDRAL CITY, CA 92234
Riverside County (888) 852-6672

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 Banyan Palm Springs LLC's NPI number?

The NPI number for Banyan Palm Springs LLC is 1851932214. It was assigned to this organization in the NPPES registry on October 7, 2019.

Where is Banyan Palm Springs LLC located?

Banyan Palm Springs LLC is located at 67580 Jones Rd, Cathedral City, CA 92234. The listed phone number is (760) 616-5800.

What is Banyan Palm Springs LLC's specialty?

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

Does Banyan Palm Springs LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Banyan Palm Springs LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.