NPIMap

Organization Active NPI

Kalamazoo TC Operator LLC

Doing business as Enlightened Recovery

  • Substance Abuse Rehabilitation Facility
  • Kalamazoo, MI
National Provider Identifier
1427803089
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KALAMAZOO TC OPERATOR LLC
Doing business as
Enlightened Recovery
Practice address
1430 Alamo Ave
Kalamazoo, MI 49006-2216
Phone
(269) 216-4250
Fax
(269) 585-5908
NPI assigned
Apr 18, 2024
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Kelly Ann Jones
Title
Reimbursement Manager
Phone
(609) 798-0887

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric Hospital 283Q00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1430 Alamo Ave
Kalamazoo, MI 49006-2216

Mailing address

1430 Alamo Ave
Kalamazoo, MI 49006-2216
Phone (609) 493-4770

Other names 1

  • Enlightened Recovery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241218003640 MI Part B Supplier - Clinic/Group Practice 5890222566 Receives reassigned benefits from 8 practitioners
Practice locations: Kalamazoo, MI

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
23D2310382Kalamazoo TC Operator LLC1430 Alamo Avenue, Kalamazoo, MI 49006Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory

Locations

572 S Odessa Ave
Egg Harbor City, NJ 08215

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": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1427803089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 ALAMO AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062216",
            "telephone_number": "609-493-4770",
            "fax_number": "269-585-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ALAMO AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062216",
            "telephone_number": "269-216-4250",
            "fax_number": "269-585-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO TC OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "609-798-0887"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enlightened Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enlightened Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.