417 SOUTH RIVER LLC
NPI 1891571659
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Murrieta, CA

Q: What is 417 South River LLC's NPI number?

The NPI number for 417 South River LLC is 1891571659. It was assigned to this organization in the NPPES registry on September 6, 2023. The provider is doing business as 417 Recovery.

Q: What is 417 South River 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.

Active since September 06, 2023CLIA 05D2309637 · Waiver

33050 ANTELOPE RD STE 201202, MURRIETA, CA 92563(760) 485-6563 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, Dec 6, 2023, Sep 6, 2023 (3 updates tracked since 2023).

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About 417 South River Llc NPPES

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

417 SOUTH RIVER LLC (NPI 1891571659), doing business as 417 Recovery, is a healthcare organization registered as a substance abuse treatment, children in Murrieta, California and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Stevie Kuhn, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1891571659

Entity TypeOrganization

Primary Taxonomy3245S0500X

Legal Business Name417 SOUTH RIVER LLC

Location Address33050 ANTELOPE RD STE 201202Murrieta, CA 92563-2489

Mailing Address33050 Antelope Rd Ste 201Murrieta, CA 92563-2491 · (760) 485-6563

Phone(760) 485-6563

Organization SubpartNo

Authorized OfficialStevie KuhnOwner/partner · (760) 485-6563

Enumeration DateSeptember 6, 2023

Last NPPES UpdateMay 21, 20253 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1891571659 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

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

33050 ANTELOPE RD STE 201202, Murrieta, CA 92563

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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 05D2309637

417 South River LLC · Murrieta, CA

Active · expires Aug 18, 2026

CLIA Number05D2309637

Laboratory TypeIntensive Outpatient

Certificate Effective DateAugust 19, 2024

Certificate Expiration DateAugust 18, 2026

Laboratory DirectorAlejandro Alva

Laboratory Phone(760) 702-5713

Laboratory Location417 South River LLC33050 Antelope Rd, Ste 201, Murrieta, CA 92563

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 South River LLC's NPI number?

The NPI number for 417 South River LLC is 1891571659. It was assigned to this organization in the NPPES registry on September 6, 2023. The provider is doing business as 417 Recovery.

Where is 417 South River LLC located?

417 South River LLC is located at 33050 Antelope Rd Ste 201202, Murrieta, CA 92563. The listed phone number is (760) 485-6563.

What is 417 South River 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 South River LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2309637) is associated with this NPI, valid through August 18, 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 417 South River LLC was last updated on May 21, 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.