Healthcare Provider Details

I. General information

NPI: 1225509250
Provider Name (Legal Business Name): RECOVERY HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 SIDEWINDER RD NE
RIO RANCHO NM
87144-2587
US

IV. Provider business mailing address

1306 SIDEWINDER RD NE
RIO RANCHO NM
87144-2587
US

V. Phone/Fax

Practice location:
  • Phone: 505-832-7088
  • Fax: 505-832-7089
Mailing address:
  • Phone: 505-832-7088
  • Fax: 505-832-7089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: AUBRY PADILLA
Title or Position: OWNER/ CEO
Credential:
Phone: 505-832-7088