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REVIVAL RECOVERY SERVICES
NPI 1962898437
Substance Abuse Rehabilitation Facility in Apple Valley, CA

Active since April 12, 2015
12350 INDIAN RIVER DR, APPLE VALLEY, CA 92308(760) 887-1632(760) 961-8173 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revival Recovery Services NPPES

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

REVIVAL RECOVERY SERVICES (NPI 1962898437) is a healthcare organization registered as a substance abuse rehabilitation facility in Apple Valley, California and active in the NPI registry since April 2015. The organization lists Raymond J. Perea, President, as its authorized official.

NPPES Registry Identity

NPI1962898437
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameREVIVAL RECOVERY SERVICES
Location Address12350 INDIAN RIVER DRApple Valley, CA 92308-6771
Mailing Address12350 Indian River DrApple Valley, CA 92308-6771 · (760) 887-1632 · Fax (760) 961-8173
Phone(760) 887-1632
Fax(760) 961-8173
Organization SubpartNo
Authorized OfficialRaymond J. PereaPresident · (760) 887-1632
Enumeration DateApril 12, 2015
Last NPPES UpdateJune 26, 2015
✔ NPI 1962898437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 360103AN
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.
12350 INDIAN RIVER DR, Apple Valley, CA 92308
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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 Revival Recovery Services's NPI number?

The NPI number for Revival Recovery Services is 1962898437. It was assigned to this organization in the NPPES registry on April 12, 2015.

Where is Revival Recovery Services located?

Revival Recovery Services is located at 12350 Indian River Dr, Apple Valley, CA 92308. The listed phone number is (760) 887-1632.

What is Revival Recovery Services's specialty?

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

When was this NPI record last updated?

The NPPES record for Revival Recovery Services was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.