NPIMap

Organization Active NPI

Innova Recovery Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monument, CO
National Provider Identifier
1316481138
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
INNOVA RECOVERY SERVICES, LLC
Practice address
1824 Woodmoor Dr
Ste 101
Monument, CO 80132-9097
Phone
(719) 445-9330
NPI assigned
Dec 13, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
INNOVA MANAGEMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Adam Vincent
Title
President
Phone
(719) 445-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1824 Woodmoor Dr
Ste 101
Monument, CO 80132-9097

Mailing address

1824 Woodmoor Dr
Ste 101
Monument, CO 80132-9097
Phone (719) 445-9330

National Provider Directory

National Provider Directory

Locations

1824 Woodmoor Dr
Ste 101
Monument, CO 80132
Phone (719) 445-9330

Practitioners & affiliated clinicians

Practitioners 6

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": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1316481138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 WOODMOOR DR",
            "address_2": "STE 101",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329097",
            "telephone_number": "719-445-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 WOODMOOR DR",
            "address_2": "STE 101",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329097",
            "telephone_number": "719-445-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA RECOVERY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVA MANAGEMENT, LLC",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-445-9330"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.