OrganizationActive
Children'S Recovery Center 1, LLC
NPI 1720597511 · Children's Hospital · Campbell, CA
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.