Organization Active NPI

Lumos Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Mechanicsburg, PA
National Provider Identifier
1104417401
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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.

Corporate family (same tax ID) 1

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

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
39D2251620Arkview Recovery Center4950 Wilson Lane, Mechanicsburg, PA 17055Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lumos Recovery LLC (2 organizations share this tax ID)

Locations

124 Grove Ave
Unit 339
Cedarhurst, NY 11516

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.