Recovery Concepts III, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RECOVERY CONCEPTS III, LLC

Practice address

5334 S Archer Ave Ste a
Chicago, IL 60632-4970

Phone

(985) 705-3263

Fax

(346) 616-1087

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Mr. John Egan, MPH

Title

Operations Director

Phone

(985) 705-3263

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Opioid treatment program

Medicare-enrolled since Feb 28, 2024

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Johnson, LPN

  • Community Health/Public Health Clinical Nurse Specialist
  • Chicago, IL
  • NPI 1821850421
  NPD
• Susan K Mantell, MD

  • Family Medicine Physician
  • Philo, IL
  • NPI 1881651461
  NPD
• Richard William Mankinen, MD

  • Body Imaging Physician
  • New Orleans, LA
  • NPI 1639379209
  NPD
• Usha D Malkerneker, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Hazel Crest, IL
  • NPI 1568525277
  NPD (past)

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1497427223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 WINNERS CIR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487509",
            "telephone_number": "985-705-3263",
            "fax_number": "346-616-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 S ARCHER AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324970",
            "telephone_number": "985-705-3263",
            "fax_number": "346-616-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CONCEPTS III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "985-705-3263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer D Recker, FNP-BC
• Reclaim Your Joy
• Reclaiming Her Psychotherapy & Wellness
• Reconnect Psychotherapy, PLLC
• Recovered Connections Nutrition Counseling, PLLC
• Recovery Partners, P.C.
• Christina Ariana Alcid Recto
• Kathryn Recto
• Eleanor Rector, LCPC
• Red Cap Pharmacy 002, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.