FRONTLINE RECOVERY, LLC


Address: 1038 River Ridge Rd, Summit, MS 39666-9715
Phone: 6012769556

FRONTLINE RECOVERY, LLC (NPI# 1760610109) 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) 1760610109
Entity Type Organization
Organization Name FRONTLINE RECOVERY, LLC
Other Organization Name JOLIMAR RECOVERY CENTER
Practice Address 1038 River Ridge Rd
Summit
MS 39666-9715
Mailing Address Po Box 1176
Summit
MS 39666-1176
Practice Telephone 6012769556
Practice Fax Number 6012769578
Mailing Telephone 6012769556
Mailing Fax Number 6012769578
Enumeration Date 2009-06-24
Last Update Date 2009-06-24
Authorized Official Name MR. JEFF RAYBORN (PRESIDENT)
Authorized Official Telephone 6012769556
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility FS36BAEAPR/TR-OP MS Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Jolimar Recovery Center Doing Business As Name - Organization

Office Location

Street Address 1038 RIVER RIDGE RD
City SUMMIT
State MS
Zip Code 39666-9715

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912531005 Bobbi Burns Burdett Counselor 377 Montgomery Rd Sw, Summit, MS 39666 2020-02-27
1871073908 Southwest Pharmacy, Inc. Pharmacy 1121 Hwy 98 and 51, Summit, MS 39666 2018-08-17
1710463856 Lucy Rena' Mikell Nurse Practitioner 804 Robb Street, Summit, MS 39666 2018-07-12
1720586332 Summit Express Pharmacy LLC Pharmacy 105 S Laurel St # 1310, Summit, MS 39666 2018-01-29
1356891667 Brad Fortinberry Physical Therapist 709 Robb Street, Summit, MS 39666 2016-10-11
1124432679 Tara Lynn Felder Pharmacist 1121 Hwy 98/51, Summit, MS 39666 2014-06-12
1295166056 Thomas Chadwick Cochran Dietitian, Registered 1011 Meadville Street, Summit, MS 39666 2013-12-04
1912281999 Lauren Wolfarth Occupational Therapy Assistant 4109 Highway 98 West, Summit, MS 39666 2011-10-07
1902196777 Salena J Steade Nurse Practitioner 7900 Hwy 570, Summit, MS 39666 2011-04-14
1376853531 Rose Cancer Center Internal Medicine 807 Rob Street, Summit, MS 39666 2010-10-20
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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
1407063944 Jolimar Summit Recovery Center, Inc. Substance Abuse Rehabilitation Facility 740 Jolimar Trl Se, Summit, MS 39666-7969 2007-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619585809 Oxford Treatment Center, LLC Substance Abuse Rehabilitation Facility 616 Commerce Parkway, Oxford, MS 38655 2020-07-14
1861047250 Defining Wellness Centers Inc. Substance Abuse Rehabilitation Facility 630 Lakeland East Dr Ste A, Flowood, MS 39232-9565 2019-08-03
1093284598 Safe Harbor Recovery and Counseling LLC Substance Abuse Rehabilitation Facility 123 Westover Dr, Hattisburg, MS 39402-1329 2018-11-14
1164948196 Extra Mile Recovery Substance Abuse Rehabilitation Facility 720 Oak Grove Rd, Mantachie, MS 38855-8469 2017-08-22
1891149738 Stonewater Addiction Recovery Center Substance Abuse Rehabilitation Facility 38 County Road 362, Oxford, MS 38655-8514 2016-04-18
1386042471 Recovery House, Inc. Substance Abuse Rehabilitation Facility 770 Golding Road, Columbus, MS 39704-2590 2014-12-05
1487067237 Addiction Campuses of Mississippi, LLC Substance Abuse Rehabilitation Facility 7185 Swinnea Rd, Southaven, MS 38671-6003 2014-06-10
1518206440 Alcohol Services Center, Inc. Substance Abuse Rehabilitation Facility 950 N West St, Jackson, MS 39202-2566 2013-02-13
1023373586 Clever Recovery Substance Abuse Rehabilitation Facility 185 Foxtrail Rd, Picayune, MS 39466-9027 2012-07-11
1669603593 Harbor Houses of Jackson, Inc. Substance Abuse Rehabilitation Facility 5354 I 55 S, Jackson, MS 39272-9119 2009-07-27
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Competitor

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City SUMMIT
Zip Code 39666

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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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