AWARE RECOVERY CARE OF INDIANA LLC


Address: 35 Thorpe Ave Ste 104, Wallingford, CT 06492-1948
Phone: 2037795799

AWARE RECOVERY CARE OF INDIANA LLC (NPI# 1235774365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235774365
Entity Type Organization
Organization Name AWARE RECOVERY CARE OF INDIANA LLC
Practice Address 35 Thorpe Ave Ste 104
Wallingford
CT 06492-1948
Practice Telephone 2037795799
Practice Fax Number 2034216830
Mailing Telephone 2037795799
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Authorized Official Name MISS STACIE C HURLEY (CORPORATE COMPLIANCE OFFICER)
Authorized Official Telephone 2037795799
Authorized Official Credential MPAP
Is Organization Subpart Y
Parent Organization Name AWARE RECOVERY CARE INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 35 THORPE AVE STE 104
City WALLINGFORD
State CT
Zip Code 06492-1948

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891310215 The Promptcare Companies, Inc. Durable Medical Equipment & Medical Supplies 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 2020-06-11
1528692480 Hilary Caitlin Sullivan Nurse Practitioner Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 2020-02-28
1902370943 Alicia Anne Eldridge Student in an Organized Health Care Education/Training Program 88 Cheshire Road, Wallingford, CT 06492 2019-01-13
1114409562 Doreen Gail Barile Pharmacist 846 North Colony Road, Wallingford, CT 06492 2018-09-02
1942782354 Brad Becker Pharmacist 846 North Colony Rd, Walingford, CT 06492 2018-08-31
1477041564 Melissa A Fazzolari Nurse Practitioner 850 N Main Street Ext Ste B, Wallingford, CT 06492 2018-04-25
1992235857 Karen Ann Meers Behavioral Analyst 29 North Plains Highway, Unit 15, Wallingford, CT 06492 2017-06-14
1992232698 Chelsea Clements Occupational Therapist 87 Southwind Dr, Wallingford, CT 06492 2017-05-12
1659822369 Sara Frawley Naturopath 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 2016-10-18
1083085518 Energetic Spine Chiropractic Chiropractor 1271 South Broad St., Unit #11, Wallingford, CT 06492 2015-10-09
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447812680 Addiction Recovery Care LLC Substance Abuse Rehabilitation Facility 758 Stockton Rd, Wallingford, KY 41093-8650 2019-07-08
1922051242 Recovery House, Inc. Substance Abuse Rehabilitation Facility 98 Church St, Wallingford, VT 05773-9650 2006-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073143152 Connecticut Center for Recovery, LLC Substance Abuse Rehabilitation Facility 6 Glenville St, Greenwich, CT 06831-3638 2020-01-17
1710528252 Ct Ya Services LLC Substance Abuse Rehabilitation Facility 3236 Congress St, Fairfield, CT 06824-2034 2019-10-07
1669970125 Mountainside - Wilton Substance Abuse Rehabilitation Facility 372 Danbury Rd Ste 195, Wilton, CT 06897-2523 2018-01-30
1104335041 Mccall Foundation, Inc. Substance Abuse Rehabilitation Facility 17 Prospect Pl, Torrington, CT 06790-4919 2017-09-22
1922541143 Cvs Pharmacy Substance Abuse Rehabilitation Facility 35 Padanaram Rd, Danbury, CT 06811-3701 2016-11-19
1255735577 Pivot Ministries, Inc. Substance Abuse Rehabilitation Facility 485 Jane St, Bridgeport, CT 06608-1707 2014-10-15
1801201330 Time for A Change Ministry Substance Abuse Rehabilitation Facility 880 Hancock Ave, Bridgeport, CT 06605-1930 2014-06-23
1275946881 High Watch Recovery Center Substance Abuse Rehabilitation Facility 62 Carter Rd., Kent, CT 06757 2014-06-11
1083883177 Mountainside Treatment Center Substance Abuse Rehabilitation Facility 187 Route 7, Canaan, CT 06018 2008-02-22
1013107432 Hogar Crea International of Connecticut, Inc. Substance Abuse Rehabilitation Facility 18 New Park Ave, Hartford, CT 06106-2122 2007-08-01
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Competitor

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City WALLINGFORD
Zip Code 06492

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Dataset Information

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.

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