Organization Active NPI

Recovery Unlimited Treatment Center, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Flint, MI
National Provider Identifier
1265080188
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RECOVERY UNLIMITED TREATMENT CENTER, INC
Practice address
3169 W Pierson Rd
Flint, MI 48504-6805
Phone
(810) 785-4930
Fax
(810) 515-1014
NPI assigned
Sep 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Richard Taylor RobinsonNPI 1720128150
Title
Ceo
Phone
(810) 785-4930

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 Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3169 W Pierson Rd
Flint, MI 48504-6805

Mailing address

1236 Creek View Dr
Rochester, MI 48307-1700

Other identifiers 1

IdentifierTypeStateIssuer
1720128150MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rutc3169@hotmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 18, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050411000173 MI Part B Supplier - Clinic/Group Practice 9931146180 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Flint, MI
O20200228000119 MI Part B Supplier - Opioid Treatment Program (Otp) 9931146180 Practice locations: Flint, MI

National Provider Directory

National Provider Directory
Tax ID family
Recovery Unlimited Treatment Center Inc2 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

18601 Mack Ave
Grosse Pointe, MI 48236
Phone (313) 640-1250

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": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1265080188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 CREEK VIEW DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485046805",
            "telephone_number": "810-785-4930",
            "fax_number": "810-515-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY UNLIMITED TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-785-4930"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720128150",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rutc3169@hotmail.com",
            "affiliation": "N",
            "address_1": "3169 W Pierson Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485046805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.