Pura Vida Recovery Services, Llc

LBN: Pura Vida Recovery Services, Llc
Pura Vida Recovery Services, Llc is an health care organization with primary practice located at 130 Stony Point Rd , Santa Rosa CA 95401-4120. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Pura Vida Recovery Services, Llc can be contacted via phone (707) 338-5927, or through Pahlavan, Ben A via phone (707) 338-5927.

Contact Information

Primary practice address
130 Stony Point Rd Santa Rosa CA 95401-4120
Phone: (707) 338-5927
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pahlavan, Ben A
Phone: (707) 338-5927

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1346786696
LBN Legal business name Pura Vida Recovery Services, Llc
DBA Doing business as
Authorized official Pahlavan, Ben A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2017
Last updated Nov 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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