RICHMOND TREATMENT CENTER, LLC (NPI# 1003969767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003969767 |
| Entity Type | Organization |
| Organization Name | RICHMOND TREATMENT CENTER, LLC |
| Practice Address |
4265 S A St Richmond IN 47374-6049 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 7659628843 |
| Practice Fax Number | 7659654564 |
| Mailing Telephone | 7607100819 |
| Mailing Fax Number | 8775520439 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | PETER F MORRIS (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 6157211297 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1382-0-ASR | IN | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 261Q00000X | Clinic/Center | 1382-0-ASR | IN | Ambulatory Health Care Facilities |
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1382-0-ASR | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0279188 | 05 | |
| IN | 300007804 | 05 | |
| IN | 201346320A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | RICHMOND TREATMENT CENTER, LLC | 830 Crescent Centre Drive, Suite 610, Franklin, TN 37067 |
| Street Address |
4265 S A ST |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-6049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104926195 | Gordon Paul Miller | General Practice | 4265 S A St, Richmond, IN 47374-6049 | 2006-09-22 |
| 1376098228 | Angela Durbin | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1811442775 | Pamela Johnson | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1801341763 | Tammy Long | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1568917417 | Bethany Cornett | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1760937619 | Emily Amburgery | Counselor | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1972058832 | Tammy Whitaker | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1346795200 | Debbie Steffey | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1578018420 | Megan Campbell | Counselor | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1801070479 | Erin Hayes | Counselor | 4265 S A St, Richmond, IN 47374-6049 | 2007-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1437608437 | Leesburg Treatment Services, LLC | Clinic/Center | 681 Hioaks Rd Ste J, Richmond, VA 23225-4043 | 2016-10-02 |
| 1043376866 | Family Counseling Center for Recovery | Clinic/Center | 4906 Radford Ave, Richmond, VA 23230-3512 | 2006-12-28 |
| 1982848388 | Richmond Private Methadone Clinic | Clinic/Center | 4926 W Broad St, Richmond, VA 23230-3122 | 2009-04-29 |
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| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1437651221 | Valle Vista LLC | Clinic/Center | 65 Airport Pkwy Ste 104, Greenwood, IN 46143-1439 | 2018-03-07 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1659879187 | Limestone Health, LLC | Clinic/Center | 4705 Meijer Ct, Lafayette, IN 47905-4684 | 2018-01-30 |
| 1902304447 | Limestone Health, LLC | Clinic/Center | 2100 S Liberty Dr Ste A, Bloomington, IN 47403-5147 | 2018-01-30 |
| 1134559917 | Center for Behavioral Health Indiana, Inc. | Clinic/Center | 3910 Lima Rd, Fort Wayne, IN 46805-1031 | 2013-11-15 |
| 1932732955 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1110 W 5th Ave, Gary, IN 46402-1723 | 2020-02-18 |
| 1386159176 | The Otis R Bowen Center for Human Services Inc | Clinic/Center | 1415 Directors Row, Fort Wayne, IN 46808-1297 | 2017-12-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.