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

General Provider Information

NPI Number	:	1740555200
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	:	951-216-7312
Fax Number	:	951-216-7333

Provider Business Practice Location Address
First Line	:	1350 E BARISTO RD
Second Line	:	RCOE PALM SPRINGS
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-6733
Country	:	US
Telephone Number	:	951-216-7312
Fax Number	:	951-216-7333

Authorized Official
Title or Position	:	CEO/CHAIRMAN OF THE BOARD
Name	:	BERNARD L TRUAX II
Credential	:
Telephone Number	:	951-216-7300

Provider Enumeration Date	:	03/16/2012
Last Update Date	:	03/16/2012

Similar Medicare Providers

1063593788 — DR. CURTIS ANDERSON D.C.
Practice Location Address:

2574 US HIGHWAY 90 W
DEFUNIAK SPRINGS, FL
32433-6733

Practice Phone: 850-892-7432
Practice Fax:

1558630939 — CURTIS A. ANDERSON, PA
Practice Location Address:

2574 US HIGHWAY 90 W
DEFUNIAK SPRINGS, FL
32433-6733

Practice Phone: 850-892-7432
Practice Fax:

1548687767 — PATRICIA RHYS COMBS ATC
Practice Location Address:

1200 LAUREL SPRINGS DR , APT 1204
DURHAM, NC
27713-6733

Practice Phone: 828-551-3200
Practice Fax:

1609034701 — CATHERINE P HOLWAY P.T., D.P.T.
Practice Location Address:

5081 MAGNOLIA BAY CIR
PALM BEACH GARDENS, FL
33418-6733

Practice Phone: 561-252-0943
Practice Fax: 561-627-6734

1124300686 — HEATHER GOULD COTA
Practice Location Address:

23 PORT ECHO LN
PALM COAST, FL
32164-6733

Practice Phone: 386-627-3148
Practice Fax:

1982478988 — ISACHY RUMBAUT
Practice Location Address:

1920 BARBADOS RD
WEST PALM BEACH, FL
33406-6733

Practice Phone: 561-913-7128
Practice Fax:

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.