NPIMap

Organization Active NPI

Recovery Team of North Little Rock, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • North Little Rock, AR
National Provider Identifier
1053169300
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RECOVERY TEAM OF NORTH LITTLE ROCK, LLC
Practice address
111 Smarthouse Way
North Little Rock, AR 72114-5575
Phone
(561) 635-2400
NPI assigned
May 10, 2024
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HAVEN DETOX LITTLE ROCK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Kirill Vesselov
Title
President
Phone
(561) 461-3791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

111 Smarthouse Way
North Little Rock, AR 72114-5575

Mailing address

2925 10TH Ave N
Palm Springs, FL 33461-3000

National Provider Directory

National Provider Directory
Tax ID family
Recovery Team of North Little Rock LLC2 organizations share this tax ID, including this one
Part of
Recovery Team of North Little Rock LLC

Other organizations with this tax ID 1

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

Locations

111 Smarthouse Way
North Little Rock, AR 72114
Phone (501) 406-0903

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1053169300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMARTHOUSE WAY",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145575",
            "telephone_number": "561-635-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY TEAM OF NORTH LITTLE ROCK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN DETOX LITTLE ROCK, LLC",
        "enumeration_date": "2024-05-10",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "VESSELOV",
        "authorized_official_first_name": "KIRILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-461-3791"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.