Providence Recovery Centers, Inc.
NPI 1114549144 · Substance Abuse Rehabilitation Facility · Moreno Valley, CA
Providence Recovery Centers, Inc. is a Substance Abuse Rehabilitation Facility organization in Moreno Valley, CA (NPI 1114549144).
Provider details
- NPI number
- 1114549144
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Stacy Dorsey, Executive Director/Coo(951) 221-1805
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-13
- Last updated
- 2020-05-13
- Certified
- 2020-05-13
Frequently asked questions
- What is Providence Recovery Centers, Inc.'s NPI number?
- Providence Recovery Centers, Inc.'s National Provider Identifier (NPI) is 1114549144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Recovery Centers, Inc.?
- Providence Recovery Centers, Inc. is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Providence Recovery Centers, Inc. located?
- Providence Recovery Centers, Inc.'s practice location on file with NPPES is 11165 Bonnie View Ave, Moreno Valley, CA 92555.
- What is Providence Recovery Centers, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Providence Recovery Centers, Inc. is (951) 221-1805.
- Who is the authorized official for Providence Recovery Centers, Inc.?
- The authorized official listed on Providence Recovery Centers, Inc.'s NPPES record is Stacy Dorsey, Executive Director/Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Recovery Centers, Inc.'s NPI active?
- Yes — Providence Recovery Centers, Inc.'s NPI (1114549144) is active in the NPPES registry as of the last update on 2020-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.