OrganizationActive
Recovery Revelations, Inc.
NPI 1407310352 · Substance Abuse Rehabilitation Facility · Phelan, CA
Provider details
- NPI number
- 1407310352
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joseph Ming, Ceo(626) 733-2685
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
9980 Riggins Rd
Phelan, CA 92371-8421
Phone: (626) 696-7107
Street-level locationGet directions
Mailing address
629 Brightview Dr
Glendora, CA 91740-4145
Registry dates
- Enumerated
- 2019-01-24
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.