209 Recovery LLC
NPI 1700621901 · Substance Use Disorder Rehabilitation Clinic/Center · Modesto, CA
209 Recovery LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Modesto, CA (NPI 1700621901).
Provider details
- NPI number
- 1700621901
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Sample, Authorized Official(559) 231-2700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-06-28
- Last updated
- 2024-06-28
- Certified
- 2024-06-28
Frequently asked questions
- What is 209 Recovery LLC's NPI number?
- 209 Recovery LLC's National Provider Identifier (NPI) is 1700621901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 209 Recovery LLC?
- 209 Recovery LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is 209 Recovery LLC located?
- 209 Recovery LLC's practice location on file with NPPES is 1101 Standiford Ave # D1b, Modesto, CA 95350-0982.
- What is 209 Recovery LLC's phone number?
- The practice phone number listed in the NPPES registry for 209 Recovery LLC is (559) 231-2700.
- Who is the authorized official for 209 Recovery LLC?
- The authorized official listed on 209 Recovery LLC's NPPES record is Scott Sample, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 209 Recovery LLC's NPI active?
- Yes — 209 Recovery LLC's NPI (1700621901) is active in the NPPES registry as of the last update on 2024-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.