NPIMap

Organization Active NPI

Cocaine and Alcohol Awareness Program, Inc.

  • Substance Abuse Rehabilitation Facility
  • Memphis, TN
National Provider Identifier
1235324245
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0000000135 Issued in TN
Legal business name
COCAINE AND ALCOHOL AWARENESS PROGRAM, INC.
Practice address
4023 Knight Arnold Rd
Memphis, TN 38118-2128
Phone
(901) 367-7550
Fax
(901) 272-9519
NPI assigned
Sep 12, 2007
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Mr. Albert L. Richardson Jr., LADAC/NADAC
Title
Executive Director
Phone
(901) 360-0442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0000000135 TN Primary

Addresses

Primary practice location

4023 Knight Arnold Rd
Memphis, TN 38118-2128

Mailing address

4041 Knight Arnold Rd
Third Floor
Memphis, TN 38118-2128
Phone (901) 360-0442

Other practice location 1

4029 Knight Arnold Rd
Memphis, TN 38118-2128
Phone (901) 360-0442

Other names 1

  • CAAP Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251028004502 TN Part B Supplier - Clinic/Group Practice 5395150593 Receives reassigned benefits from 3 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

4023 Knight Arnold Rd
Memphis, TN 38118
Phone (901) 367-7550

4029 Knight Arnold Rd
Memphis, TN 38118
Phone (901) 360-0442

4041 Knight Arnold Rd
Fl Third
Memphis, TN 38118

4041 Knight Arnold Rd
Ste 100
Memphis, TN 38118
Phone (901) 360-0442

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1235324245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 KNIGHT ARNOLD RD",
            "address_2": "THIRD FLOOR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182128",
            "telephone_number": "901-360-0442",
            "fax_number": "901-360-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 KNIGHT ARNOLD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182128",
            "telephone_number": "901-367-7550",
            "fax_number": "901-272-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4029 Knight Arnold Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381182128",
            "country_code": "US",
            "telephone_number": "901-360-0442",
            "fax_number": "901-505-0214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COCAINE AND ALCOHOL AWARENESS PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-360-0442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LADAC/NADAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "0000000135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAAP Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.