Lincoln Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LINCOLN RECOVERY LLC

Practice address

19130 W Frontage Rd
Raymond, IL 62560-5052

Phone

(217) 471-5816

NPI assigned

Apr 9, 2025

Last updated

Apr 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Vanhooser

Title

Director of Compliance

Phone

(949) 750-2014

Specialties & licenses 1

Addresses

Tax ID family

Lincoln Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sunshine Behavioral Health Group LLC

  dba Lincoln Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Raymond, IL
  • NPI 1891464467
  NPD tax ID

Locations

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1548054810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 E 1ST AVE STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19130 W FRONTAGE RD",
            "city": "RAYMOND",
            "state": "IL",
            "postal_code": "625605052",
            "telephone_number": "217-471-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "VANHOOSER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "949-750-2014"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velvet Christine Balmer, M.S. CCC SLP
• Katherine Brandt
• Freedom Physical Therapy and Fitness, PLLC
• Hillsboro Medical Center Raymond Lab
• Deborah Kay Langham, REGISTERED NURSE
• Maurice E Sullivan (Sullivan Drug of Raymond)
• Ellen Edith Mouser, PMHNP
• Panhandle Cusd 2
• Raymond Harvel Area Ambulance Service
• Springfield Clinic LLP

• Substance Abuse Rehabilitation Facility in Raymond, IL
• Providers in Raymond, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.