Yarrow Lodge, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

YARROW LODGE, LLC

Practice address

10677 N 48TH Street
Augusta, MI 49012

Phone

(269) 282-7721

NPI assigned

Sep 27, 2018

Organization subpart

Yes

Parent organization

DUAL DIAGNOSIS MANAGEMENT, LLC DBA PALMSPRINGS SERENITY RETREATAs reported in NPPES

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

Authorized official

Name

Steve Filton

Title

Evp - Chief Financial Officer

Phone

(610) 382-3319

Specialties & licenses 1

Addresses

Other names 1

• Skywood Recovery Doing business as

Tax ID family

Skywood Recovery2 organizations share this tax ID, including this one

Part of

Dual Diagnosis Management LLC Dba Palmsprings Serenity Retreat

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yarrow Lodge, LLC

  • Substance Abuse Rehabilitation Facility
  • Augusta, MI
  • NPI 1427411008
  NPD tax ID

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1306321179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH PARK DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275577",
            "telephone_number": "615-386-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10677 N 48TH STREET",
            "city": "AUGUSTA",
            "state": "MI",
            "postal_code": "49012",
            "telephone_number": "269-282-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARROW LODGE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUAL DIAGNOSIS MANAGEMENT, LLC DBA PALMSPRINGS SERENITY RETREAT",
        "enumeration_date": "2018-09-27",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EVP - CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-382-3319"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skywood Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skywood Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlene Vandril Swain, P.T
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• Universaln
• Universaln
• Vision Counseling
• Yarrow Lodge, LLC

• Substance Abuse Rehabilitation Facility in Augusta, MI
• Providers in Augusta, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.