REFRESH RECOVERY LLC
NPI 1891320099
Clinic/Center - Rehabilitation, Substance Use Disorder in San Diego, CA
About Refresh Recovery Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REFRESH RECOVERY LLC (NPI 1891320099) is a healthcare organization registered as a rehabilitation, substance use disorder in San Diego, California and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Daniel Simons, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 05D2204846
Refresh Recovery · San Diego, CAFrequently 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 Refresh Recovery LLC's NPI number?
The NPI number for Refresh Recovery LLC is 1891320099. It was assigned to this organization in the NPPES registry on March 8, 2020.
Where is Refresh Recovery LLC located?
Refresh Recovery LLC is located at 4141 Jutland Dr Ste 110, San Diego, CA 92117. The listed phone number is (619) 455-1318.
What is Refresh Recovery LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Refresh Recovery LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2204846) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Refresh Recovery LLC was last updated on April 13, 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.
# Refresh Recovery Llc · NPI 1891320099
Rehabilitation, Substance Use Disorder organization in San Diego, California. Organization record, active in the CMS NPPES registry since March 8, 2020.
## Identity
- **NPI:** 1891320099 (Entity type: Organization)
- **Enumerated:** March 8, 2020
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Daniel Simons, CEO
## Practice location
- **Address:** 4141 JUTLAND DR STE 110, San Diego, CA 92117-3658
- **Phone:** (619) 455-1318
## Record status
- **NPPES last updated:** April 13, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891320099) · Data from the CMS NPPES public registry.