Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Recovery Center 1, LLC

Organization Children's Hospital · NPI 1720597511

Children's Recovery Center 1, LLC is a Children's Hospital in Campbell, California. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3777 S Bascom Ave
Campbell, CA 95008-7320
Phone: (408) 558-3640
Fax: (408) 340-1519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Hospital (primary) Taxonomy 282NC2000X

Record details

NPI number1720597511
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInnovations Health Systems
Authorized official Dan Niccum — Ceo · (916) 425-1171
NPI enumeratedSeptember 25, 2017
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing address3777 S Bascom Ave, Campbell, CA 95008-7320

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