MEDICARE: RIVERSIDE RECOVERY RESOURCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center		CA

General Provider Information

NPI Number	:	1275799744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERSIDE RECOVERY RESOURCES

Provider Business Mailing Address
First Line	:	PO BOX 549
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92531-0549
Country	:	US
Telephone Number	:	951-674-5354
Fax Number	:	951-674-5227

Provider Business Practice Location Address
First Line	:	1405 EDUCATION WAY # 200
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92530-2809
Country	:	US
Telephone Number	:	951-674-5354
Fax Number	:	951-674-5227

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. DERRICK BRUCE HARVEY
Credential	:	CAS II CRPM
Telephone Number	:	951-674-5354

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	02/19/2010

Similar Medicare Providers

1588967772 — MFI RECOVERY CENTER
Practice Location Address:

1405 EDUCATION WAY
LAKE ELSINORE, CA
92530-2809

Practice Phone: 951-698-8558
Practice Fax:

1053882027 — RESCARE MINNESOTA, INC.
Practice Location Address:

7701 ABLE ST NE
SPRING LAKE PARK, MN
55432-2809

Practice Phone: 763-786-5317
Practice Fax:

1043294804 — MS. SUSAN L. KENT MA CCC-SLP
Practice Location Address:

369 AVON POINT AVE
AVON LAKE, OH
44012-2809

Practice Phone: 216-870-1547
Practice Fax: 440-930-9132

1750710414 — MRS. LAUREN ASHE HAYDU M.A., CCC-SLP
Practice Location Address:

3916 LAKE SARAH DR
ORLANDO, FL
32804-2809

Practice Phone: 407-376-6905
Practice Fax:

1205207768 — MS. KIM DAMARIS YORK NURSE PRACTITIONER
Practice Location Address:

70 CEDAR BLUFF DR APT 19
LAKE ST LOUIS, MO
63367-2809

Practice Phone: 636-887-2125
Practice Fax:

1134649494 — DR. CANDY ZAMORA NAJERA DC
Practice Location Address:

16600 COHASSET ST
LAKE BALBOA, CA
91406-2809

Practice Phone: 818-561-7020
Practice Fax: 888-728-6702

Directions to “RIVERSIDE RECOVERY RESOURCES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.