Active NPI
Lumos Recovery, LLC
- Substance Abuse Rehabilitation Facility
- Mechanicsburg, PA
National Provider Identifier
1104417401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- LUMOS RECOVERY, LLC
- Practice address
- 4950 Wilson LN
Mechanicsburg, PA 17055-4442 - Phone
- (717) 573-7973
- Fax
- (717) 265-2780
- NPI assigned
- Jan 29, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Lawrence Weiss
- Title
- Manager
- Phone
- (717) 573-7973
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- East York, PA
- NPI 1427888643
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- East York, PA
- NPI 1427888643
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2251620 | Arkview Recovery Center | Certificate of waiver | Feb 3, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Lumos Recovery LLC
Locations
124 Grove Ave
Unit 339
Cedarhurst, NY 11516
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4950 Wilson LN
Mechanicsburg, PA 17055-4442
Mailing address
124 Grove Ave Unit 339
Cedarhurst, NY 11516-4014
Other names 1
NPPES NPI Registry- Arkview Recovery Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2024.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707955200000",
"number": "1104417401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 GROVE AVE UNIT 339",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115164014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 WILSON LN",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554442",
"telephone_number": "717-573-7973",
"fax_number": "717-265-2780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMOS RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-29",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "717-573-7973"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arkview Recovery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Arkview Recovery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.