NPIMap

Organization Active NPI

Yarrow Lodge, LLC

Doing business as Skywood Recovery

  • Substance Abuse Rehabilitation Facility
  • Augusta, MI
National Provider Identifier
1427411008
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA0390194 Issued in MI
Legal business name
YARROW LODGE, LLC
Doing business as
Skywood Recovery
Practice address
10499 N 48TH St
Augusta, MI 49012-9500
Phone
(269) 282-7700
Fax
(269) 731-2346
NPI assigned
Apr 1, 2016
Last updated
May 15, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUNDATIONS RECOVERY NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SA0390194 MI Primary

Addresses

Primary practice location

10499 N 48TH St
Augusta, MI 49012-9500

Mailing address

1000 Health Park Drive
Building Three, Suite 400
Brentwood, TN 37027
Phone (615) 386-7255

Other names 1

  • Skywood Recovery Doing business as

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
23D2110353Skywood Recovery10499 N 48TH Street, Augusta, MI 49012Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory
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.

Locations

10499 N 48th St
Augusta, MI 49012
Phone (269) 282-7700

Practitioners & affiliated clinicians

Practitioners 4

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": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1427411008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH PARK DRIVE",
            "address_2": "BUILDING THREE, SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-386-7255",
            "fax_number": "615-645-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10499 N 48TH ST",
            "city": "AUGUSTA",
            "state": "MI",
            "postal_code": "490129500",
            "telephone_number": "269-282-7700",
            "fax_number": "269-731-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARROW LODGE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATIONS RECOVERY NETWORK",
        "enumeration_date": "2016-04-01",
        "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": "MI",
            "license": "SA0390194",
            "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"
        }
    ]
}

Other providers in Augusta, MI

Sources for this page

  • 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.
  • 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.