Landmark Recovery of Louisville LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LANDMARK RECOVERY OF LOUISVILLE LLC

Doing business as

Landmark Recovery of Oklahoma City

Practice address

4825 NW 23Rd St
Oklahoma City, OK 73127-1800

Phone

(888) 448-0302

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Prochut, DO

Title

Credentialing Specialist

Phone

(480) 619-8556

Specialties & licenses 1

Addresses

Other names 1

• Landmark Recovery of Oklahoma City Doing business as

Tax ID family

Landmark Recovery of Kentucky 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.

• Landmark Recovery of Kentucky LLC

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
  • NPI 1477914166
  NPD tax ID

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1205307220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 E CACTUS RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543545",
            "telephone_number": "888-448-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731271800",
            "telephone_number": "888-448-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY OF LOUISVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "PROCHUT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "480-619-8556",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark Recovery of Oklahoma City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance M Hoover MD Inc PC
• Lance R. Schmidt, DDS, PC
• Stephanie Eliabeth Land, PT, DPT
• Patti Sue Landers, PH.D., R.D./L.D.
• Alessandra Landmann, MD
• Landmark Recovery of Oklahoma City Ops LLC
• Landmark Recovery of Oklahoma City, LLC
• Landmark Recovery Outpatient Services, LLC (Landmark Recovery of Oklahoma City Outpatient Services)
• Landolfi Counseling Services, PLLC
• Angela Ruth Landon, MSW, LCSW

• Substance Abuse Rehabilitation Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Substance Abuse Rehabilitation Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.