RECOVERY CENTER LLC (NPI# 1801420039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801420039 |
| Entity Type | Organization |
| Organization Name | RECOVERY CENTER LLC |
| Other Organization Name | RECOVERY CENTER 2 |
| Practice Address |
109 W James St Paynesville MN 56362-1216 |
| Practice Telephone | 3202961121 |
| Mailing Telephone | 3202961121 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | MAE MAURER-ROGERS (OWNER/DIRECTOR) |
| Authorized Official Telephone | 3202961121 |
| Is Organization Subpart | Y |
| Parent Organization Name | RECOVERY CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Recovery Center | Doing Business As Name - Organization |
| Recovery Center 2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456395 | Recovery Center LLC | Social Worker | 642 East Ave, Warwick, RI 02886-0515 | 2020-10-29 |
| 1033678388 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 Washburne Ave, Paynesville, MN 56362-1640 | 2019-03-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Recovery Center LLC | 214 Givens Branch Trail, Newport, Virginia 24128 |
| Street Address |
109 W JAMES ST |
| City | PAYNESVILLE |
| State | MN |
| Zip Code | 56362-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174055321 | Ginelle Rae Zimmerman | Family Medicine | 200 W 1st Street, Paynesville, MN 56362 | 2017-03-28 |
| 1710173877 | Jennifer Ann Klocker | Pharmacist | 200 West First Street, Paynesville, MN 56362 | 2007-09-21 |
| 1033322599 | Teresa Marie Winter | Massage Therapist | 750 State Hwy 55, Paynesville, MN 56362 | 2007-05-08 |
| 1336225838 | Donald Arther Millner | Dentist | 204 West James Street, Paynesville, MN 56362 | 2006-10-27 |
| 1760485908 | Todd D Lemke | Pharmacist | 200 First St W, Paynesville, MN 56362 | 2005-05-23 |
| 1700895604 | Daniel M Lillquist | Physician Assistant | 200 W 1st St, Paynesville, MN 56362 | 2006-08-07 |
| 1144288754 | Melissa Lynn Dols | Dietitian, Registered | 200 W 1st St, Paynesville, MN 56362 | 2006-05-03 |
| 1760440846 | Centracare Health - Paynesville LLC | Pharmacy | 200 W 1st St, Paynesville, MN 56362 | 2006-05-01 |
| 1275846487 | Paynesville Area Living At Home Block Nurse Program | Voluntary or Charitable | 1105 W Main St, Paynesville, MN 56362-1000 | 2010-07-16 |
| 1932404688 | Serenity Path Inc. | Clinic/Center | 117 W James St, Box 3, Paynesville, MN 56362-1216 | 2011-01-11 |
| Find all providers in zip 56362 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033678388 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 Washburne Ave, Paynesville, MN 56362-1640 | 2019-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
| 1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
| 1962067090 | Morningstar Care Services,llc. | Substance Abuse Rehabilitation Facility | 11347 Eldorado St Ne Unit D, Blaine, MN 55449-4552 | 2019-05-03 |
| Find all providers with the same taxonomy | ||||
| City | PAYNESVILLE |
| Zip Code | 56362 |
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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.