NPIMap

Organization Active NPI

Two Rivers Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Urbandale, IA
National Provider Identifier
1154955649
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TWO RIVERS RECOVERY, LLC
Practice address
14321 Dellwood Dr
Urbandale, IA 50323-2096
Phone
(515) 321-4663
NPI assigned
Feb 24, 2020
Organization subpart
Yes
Parent organization
JUDITH M HAGERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Judith M Hager, PMHNPBC, FNPCNPI 1629475462
Title
Provider/Member
Phone
(515) 321-4663

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 1

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

Addresses

Primary practice location

14321 Dellwood Dr
Urbandale, IA 50323-2096

Mailing address

14321 Dellwood Dr
Urbandale, IA 50323-2096
Phone (515) 321-4663

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tworiversrecoveryllc.org Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1154955649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14321 DELLWOOD DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232096",
            "telephone_number": "515-321-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14321 DELLWOOD DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232096",
            "telephone_number": "515-321-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUDITH M HAGER",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "HAGER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER/MEMBER",
        "authorized_official_telephone_number": "515-321-4663",
        "authorized_official_credential": "PMHNPBC, FNPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tworiversrecoveryllc.org",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14321 Dellwood Dr",
            "city": "Urbandale",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503232096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.