Organization Active NPI

Eagle Lake Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Choudrant, LA
National Provider Identifier
1093699936
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EAGLE LAKE RECOVERY LLC
Practice address
135 Highway 556
Choudrant, LA 71227-2300
Phone
(318) 237-0252
NPI assigned
Aug 4, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Joseph Andrew Miller
Title
HR & Compliance Officer
Phone
(318) 237-0252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

135 Highway 556
Choudrant, LA 71227-2300

Mailing address

300 Washington St Ste 212
Monroe, LA 71201-6762
Phone (318) 237-0252

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2332887Eagle Lake Recovery135 Highway 556, Choudrant, LA 71227Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1093699936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST STE 212",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016762",
            "telephone_number": "318-237-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HIGHWAY 556",
            "city": "CHOUDRANT",
            "state": "LA",
            "postal_code": "712272300",
            "telephone_number": "318-237-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE LAKE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "HR & COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "318-237-0252"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choudrant, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.