ABC RECOVERY CENTER — NPI 1073058525 (Licensed & Credentialed Substance Abuse Rehabilitation Facility in INDIO, CA)

CMS-1500 Box 24J / 33a • NPI

1073058525

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

324500000X

Licensed & Credentialed Substance Abuse Rehabilitation Facility

Box 32 Service Location & ZIP+4

44-415 PALM ST, INDIO, CA, 92201-3116

✓ 9-Digit EDI 837 ZIP+4 (92201-3116)

Practice Phone & Referral Fax

(760) 342-6616

Fax: (760) 347-8276

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1073058525 (ABC RECOVERY CENTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1073058525` (NPI-2 Organization / Facility)
Provider / Legal Name	ABC RECOVERY CENTER
Plain-English Specialty	Licensed & Credentialed Substance Abuse Rehabilitation Facility NUCC Code: `324500000X` (Substance Abuse Rehabilitation Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	44-415 PALM ST, INDIO, CA, 92201-3116
Practice Telephone / Fax	Tel: (760) 342-6616 \| Fax: (760) 347-8276
Administrative Mailing Address	44359 PALM ST, INDIO, CA, 92201-3116
Enumeration & Last Sync	Enumerated: 2016-12-19 \| CMS Record Updated: 2016-12-19
Authorized Official	CHRISTOPHER YINGLING (Chief Executive Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

44-415 PALM ST, INDIO, CA, 92201-3116

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Plain-English Taxonomy & CMS Crosswalk (324500000X)

What Does Taxonomy Code 324500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 324500000X translates to:
"Licensed & Credentialed Substance Abuse Rehabilitation Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Substance Abuse Rehabilitation Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABC RECOVERY CENTER)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: CA \| License: `330001AN` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABC RECOVERY CENTER (NPI #1073058525)