Organization Active NPI

Aimwell Center LLC

  • Substance Abuse Rehabilitation Facility
  • Monroe, LA
National Provider Identifier
1134638174
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
2203783342 Issued in LA
Legal business name
AIMWELL CENTER LLC
Practice address
219 Northpark Dr
Monroe, LA 71203-6520
Phone
(318) 816-5329
NPI assigned
Sep 21, 2017
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Thomas Clifton Estis, PHD CSWNPI 1881938785
Title
Clinical Director/Co-Owner
Phone
(318) 235-9735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 2203783342 LA
Substance Abuse Rehabilitation Facility 324500000X 2203783342 LA Primary

Addresses

Primary practice location

219 Northpark Dr
Monroe, LA 71203-6520

Mailing address

1106 Stubbs Ave Ste B
Monroe, LA 71201-5641
Phone (318) 816-5329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208002266 LA Part B Supplier - Clinic/Group Practice 9436592219 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

National Provider Directory

National Provider Directory
Tax ID family
Aimwell Addiction Recovery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1106 Stubbs Ave
Ste B
Monroe, LA 71201
Phone (318) 237-5741

219 Northpark Dr
Monroe, LA 71203
Phone (318) 816-5329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1134638174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 STUBBS AVE STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015641",
            "telephone_number": "318-816-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 NORTHPARK DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036520",
            "telephone_number": "318-816-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMWELL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "ESTIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/CO-OWNER",
        "authorized_official_telephone_number": "318-235-9735",
        "authorized_official_credential": "PHD CSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "LA",
            "license": "2203783342",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "2203783342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.