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209 Recovery LLC

Substance Use Disorder Rehabilitation Clinic/Center in Modesto, CA · enumerated 2024 · authorized official Scott Sample, Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700621901

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name 209 Recovery LLC
Practice address 1101 Standiford Ave # D1b, Modesto, CA, 95350
Enumeration date Jun 28, 2024
Last updated in NPPES Jun 28, 2024

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Scott Sample
Title Authorized Official

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is 209 Recovery LLC?
209 Recovery LLC is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-28.