Organization Active NPI

Kingdom Recovery

  • Substance Abuse Rehabilitation Facility
  • Morristown, TN
National Provider Identifier
1366150799
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KINGDOM RECOVERY
Practice address
850 W 3Rd North St
Morristown, TN 37814-3896
Phone
(423) 200-4991
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
James Howe
Title
Authorized Official
Phone
(423) 200-4991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

850 W 3Rd North St
Morristown, TN 37814-3896

Mailing address

850 W 3Rd North St
Morristown, TN 37814-3896
Phone (423) 200-4991

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james@kingdomrecoverycenter.org Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2279013Kingdom Recovery Center850 West 3Rd North Street, Morristown, TN 37814Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

850 W 3rd North St
Morristown, TN 37814
Phone (423) 581-0425

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1366150799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W 3RD NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143896",
            "telephone_number": "423-200-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W 3RD NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143896",
            "telephone_number": "423-200-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "423-200-4991"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james@kingdomrecoverycenter.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "850 W 3rd North St",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378143896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.