Organization Active NPI

Pleasant Hill Rehab LLC

  • Substance Abuse Rehabilitation Facility
  • Pleasant Hill, IA
National Provider Identifier
1124869144
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PLEASANT HILL REHAB LLC
Practice address
6132 NE 12TH Ave
Pleasant Hill, IA 50327-8911
Phone
(304) 503-3448
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Morgan Henson
Title
Senior Director
Phone
(304) 503-3448

Specialties & licenses 1

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

Addresses

Primary practice location

6132 NE 12TH Ave
Pleasant Hill, IA 50327-8911

Mailing address

5728 Major Blvd Ste 301
Orlando, FL 32819-7969

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
16D2313972Pleasant Hill Rehab LLC6132 NE 12TH Ave, Pleasant Hill, IA 50327Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1124869144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 NE 12TH AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278911",
            "telephone_number": "304-503-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT HILL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "304-503-3448"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.