NPIMap

Organization Active NPI

E Dawn Martin Caciii LLC

Doing business as Recovery Unlimited

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1396235511
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
E DAWN MARTIN CACIII LLC
Doing business as
Recovery Unlimited
Practice address
140 S Parkside Dr
Colorado Springs, CO 80910-3129
Phone
(719) 358-7338
Fax
(844) 273-2340
NPI assigned
May 14, 2018
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Mrs. Elizabeth Dawn Martin, CACIIINPI 1033404850
Title
Owner
Phone
(719) 930-8801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

140 S Parkside Dr
Colorado Springs, CO 80910-3129

Mailing address

140 S Parkside Dr
Colorado Springs, CO 80910-3129
Phone (719) 358-7338

Other names 1

  • RECOVERY UNLIMITED Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201102000891 CO Part B Supplier - Clinic/Group Practice 8325458474 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory
Tax ID family
E Dawn Martin Caciii LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

112 Iowa Ave
Ste 4
Colorado Springs, CO 80909
Phone (719) 358-7228

Practitioners & affiliated clinicians

Practitioners 11

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": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1396235511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S PARKSIDE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103129",
            "telephone_number": "719-358-7338",
            "fax_number": "844-273-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S PARKSIDE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103129",
            "telephone_number": "719-358-7338",
            "fax_number": "844-273-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E DAWN MARTIN CACIII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-930-8801",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CACIII"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RECOVERY UNLIMITED",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RECOVERY UNLIMITED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.