Restart Recovery LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RESTART RECOVERY LLC

Practice address

21 Doctors Park Ste a
Cape Girardeau, MO 63703-4927

Phone

(217) 303-2743

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Shariff Shakir

Title

Owner

Phone

(217) 303-2743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1295222966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 S MCKINLEY ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462961",
            "telephone_number": "217-303-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DOCTORS PARK STE A",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "217-303-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTART RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "SHAKIR",
        "authorized_official_first_name": "SHARIFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-303-2743"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.