Alpine Recovery Lodge LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ALPINE RECOVERY LODGE LLC

Practice address

1018 E Oakhill Dr
Alpine, UT 84004-1733

Phone

(877) 415-4060

NPI assigned

Mar 28, 2013

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Rothermel

Title

Cfo

Phone

(858) 776-7912

Specialties & licenses 1

Addresses

Tax ID family

Alpine Recovery Lodge LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alpine Recovery Lodge LLC

  • Substance Abuse Rehabilitation Facility
  • Alpine, UT
  • NPI 1033450275
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin V Knutson, LCMHC, NCC

  • Professional Counselor
  • Alpine, UT
  • NPI 1326254731
  NPD (past)
• Ruth Aku Newton

  • Mental Health Counselor
  • Alpine, UT
  • NPI 1265339923
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1033452974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 TOWN CENTER BLVD #160",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 E OAKHILL DR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041733",
            "telephone_number": "877-415-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE RECOVERY LODGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "ROTHERMEL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "858-776-7912"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Dentists and Specialists PLLC
• Alpine Dermatology PC
• Alpine Family Medicine LLC
• Alpine Physical Therapy LLC
• Alpine Recovery Lodge LLC
• Chris Donald Anderson, PHD
• Paul D. Anderson, MPT
• Douglas Whitney Ashton, DPT
• Amber Astle
• Azova Care Group (FL), PLLC

• Substance Abuse Rehabilitation Facility in Alpine, UT
• Providers in Alpine, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.