OrganizationActive
Children'S Recovery Center 1, LLC
NPI 1720597511 · Children's Hospital · Campbell, CA
Children'S Recovery Center 1, LLC is a Children's Hospital organization in Campbell, CA (NPI 1720597511).
Provider details
- NPI number
- 1720597511
- Entity type
- Organization
- Primary specialty
- Children's HospitalHospitals
- Parent organization
- Innovations Health Systems
- Organization subpart
- Yes
- Authorized official
- Dan Niccum, Ceo(916) 425-1171
Specialties & taxonomies
Hospitals
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
3777 S Bascom Ave
Campbell, CA 95008-7320
Phone: (408) 558-3640
Fax: (408) 340-1519
Street-level locationGet directions
Mailing address
3777 S Bascom Ave
Campbell, CA 95008-7320
Registry dates
- Enumerated
- 2017-09-25
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Frequently asked questions
- What is Children'S Recovery Center 1, LLC's NPI number?
- Children'S Recovery Center 1, LLC's National Provider Identifier (NPI) is 1720597511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Children'S Recovery Center 1, LLC?
- Children'S Recovery Center 1, LLC is classified in the NPPES registry as Children's Hospital (Hospitals).
- Where is Children'S Recovery Center 1, LLC located?
- Children'S Recovery Center 1, LLC's practice location on file with NPPES is 3777 S Bascom Ave, Campbell, CA 95008-7320.
- What is Children'S Recovery Center 1, LLC's phone number?
- The practice phone number listed in the NPPES registry for Children'S Recovery Center 1, LLC is (408) 558-3640.
- Who is the authorized official for Children'S Recovery Center 1, LLC?
- The authorized official listed on Children'S Recovery Center 1, LLC's NPPES record is Dan Niccum, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Children'S Recovery Center 1, LLC's NPI active?
- Yes — Children'S Recovery Center 1, LLC's NPI (1720597511) is active in the NPPES registry as of the last update on 2023-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.