NPIMap

Organization Active NPI

Pinnacle Treatment Centers, LLC D/B/a Recovery Works Paducah

  • Substance Abuse Rehabilitation Facility
  • Mayfield, KY
National Provider Identifier
1316372899
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PINNACLE TREATMENT CENTERS, LLC D/B/A RECOVERY WORKS PADUCAH
Practice address
4747 Old Dublin Rd
Mayfield, KY 42066-8404
Phone
(270) 623-8500
NPI assigned
Sep 4, 2013
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Robyn Tanis
Title
Executive Director of Contract MGMT
Phone
(856) 533-8762

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X KY
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X KY

Addresses

Primary practice location

4747 Old Dublin Rd
Mayfield, KY 42066-8404

Mailing address

1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111

Other practice location 1

105 W Broadway
Mayfield, KY 42066-2213
Phone (270) 623-8500

Other practice location 2

107 W Broadway
Mayfield, KY 42066-2213
Phone (270) 623-8500

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Treatment Centers Ky-I LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

105 W Broadway
Mayfield, KY 42066
Phone (270) 623-8500

107 W Broadway
Mayfield, KY 42066
Phone (270) 247-5532

4747 Old Dublin Rd
Mayfield, KY 42066
Phone (270) 623-6144

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1316372899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-6111",
            "fax_number": "502-867-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 OLD DUBLIN RD",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420668404",
            "telephone_number": "270-623-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420662213",
            "country_code": "US",
            "telephone_number": "270-623-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420662213",
            "country_code": "US",
            "telephone_number": "270-623-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS, LLC D/B/A RECOVERY WORKS PADUCAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MGMT",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.