NPIMap

Organization Active NPI

Alt Recovery Group LLC

  • Methadone Clinic
  • Las Cruces, NM
National Provider Identifier
1306285820
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
NM10059M Issued in NM
Legal business name
ALT RECOVERY GROUP LLC
Practice address
1141 Mall Dr
Suite E
Las Cruces, NM 88011-8194
Phone
(575) 522-0660
Fax
(575) 522-3151
NPI assigned
Jun 18, 2013
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Mr. Steve Lanza
Title
Ceo
Phone
(310) 503-3898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NM10059M NM Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU

Addresses

Primary practice location

1141 Mall Dr
Suite E
Las Cruces, NM 88011-8194

Mailing address

1141 Mall Dr
Suite E
Las Cruces, NM 88011-8194
Phone (575) 522-0660

Other identifiers 1

IdentifierTypeStateIssuer
42738229MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170404000782 NM Part B Supplier - Clinic/Group Practice 8022394147 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Las Cruces, NM
O20200122002949 NM Part B Supplier - Opioid Treatment Program (Otp) 8022394147 Practice locations: Las Cruces, NM

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Alt Recovery Group 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.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1306285820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 MALL DR",
            "address_2": "SUITE E",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118194",
            "telephone_number": "575-522-0660",
            "fax_number": "575-522-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 MALL DR",
            "address_2": "SUITE E",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118194",
            "telephone_number": "575-522-0660",
            "fax_number": "575-522-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALT RECOVERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-503-3898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NM",
            "license": "NM10059M",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42738229",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.