CRC RECOVERY, INC. (NPI# 1821418096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821418096 |
Entity Type | Organization |
Organization Name | CRC RECOVERY, INC. |
Other Organization Name | CEDAR RAPIDS TREATMENT CENTER |
Practice Address |
5005 Bowling St Sw Ste C Cedar Rapids IA 52404-5070 |
Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
Practice Telephone | 3195313824 |
Practice Fax Number | 3195313840 |
Mailing Telephone | 8582592288 |
Mailing Fax Number | 3195313840 |
Enumeration Date | 2014-04-25 |
Last Update Date | 2020-04-10 |
Authorized Official Name | KIM SANDERSON (PRESIDENT, CTC DIVISION) |
Authorized Official Telephone | 7607100951 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Cedar Rapids Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
1710453485 | Crc Recovery, Inc. | Counselor | 3584 Fairlanes Ave. Sw, Ste 2, Grandville, MI 49418-1583 | 2018-10-19 |
1396149068 | Crc Recovery, Inc. | Clinic/Center | 522 South Maple Road, Ann Arbor, MI 48103-3837 | 2014-10-09 |
1306078084 | Crc Recovery, Inc. | Clinic/Center | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2009-08-14 |
1750857520 | Crc Recovery, Inc. | Counselor | 522 S Maple Rd, Ann Arbor, MI 48103-3837 | 2018-10-19 |
1942670559 | Crc Recovery, Inc. | Counselor | 3584 Fairlanes Ave Sw, Ste 2, Grandville, MI 49418-1583 | 2015-09-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | CRC RECOVERY, INC. | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
Street Address |
5005 BOWLING ST SW STE C |
City | CEDAR RAPIDS |
State | IA |
Zip Code | 52404-5070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164053716 | Jodi Hayes | Licensed Practical Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2020-02-03 |
1306496534 | Brandy Diana Hansen | Licensed Practical Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-09-19 |
1841851193 | Erin Lynn Turner | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-06-27 |
1003379611 | Nichole Davis | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-04-10 |
1407329535 | Amy Lynn Ealy | Licensed Practical Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-01-11 |
1477026680 | Jeannie Marie Murphy | Registered Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-01-10 |
1306317003 | Frederick Mishler | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2018-12-07 |
1285119784 | Jenna Fourre | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2018-10-01 |
1154824134 | Deena Loraine White | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2018-03-15 |
1801399381 | Dianna Ray Slick | Licensed Practical Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2018-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
1528617313 | Humble Language Institute | Interpreter | 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 | 2019-09-05 |
1073169074 | Jackie Lugene Mcfetridge | Technician | 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 | 2019-08-15 |
1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
1790231371 | Freddie Lederle | Taxi | 3260 Southgate Place, Cedar Rapids, IA 52404 | 2016-09-01 |
1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
1689094112 | Pathway Counseling Center | Clinic/Center | 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 | 2014-04-23 |
Find all providers in zip 52404 |
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 |
---|---|---|---|---|
1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
1316420623 | Cedar Valley Recovery Services Inc | Clinic/Center | 799 Main St Ste 370, Dubuque, IA 52001-6872 | 2018-09-12 |
1700390101 | Covert Action LLC | Clinic/Center | 1223 Center St Ste 22, Des Moines, IA 50309-1016 | 2017-11-21 |
1245236942 | Center for Alchol & Drug Services, Inc. | Clinic/Center | 1523 S Fairmount St, Davenport, IA 52802 | 2005-06-27 |
1932506359 | Cedar Valley Recovery Services Inc | Clinic/Center | 151 Marion Blvd, Marion, IA 52302-3135 | 2014-12-01 |
1487870044 | Cedar Valley Recovery Services | Clinic/Center | 2603 Rainbow Dr, Cedar Falls, IA 50613-4743 | 2007-04-18 |
City | CEDAR RAPIDS |
Zip Code | 52404 |
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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.