NPIMap

Organization Active NPI

Black Bear Treatment Center LLC

  • Substance Abuse Rehabilitation Facility
  • Sautee, GA
National Provider Identifier
1558788802
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
154208D Issued in GA
Legal business name
BLACK BEAR TREATMENT CENTER LLC
Practice address
310 Black Bear RDG
Sautee, GA 30571-3500
Phone
(470) 539-6903
Fax
(706) 438-6876
NPI assigned
Mar 25, 2014
Last updated
May 14, 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 14, 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 154208D GA Primary

Addresses

Primary practice location

310 Black Bear RDG
Sautee, GA 30571-3500

Mailing address

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

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
11D2071475Black Bear Treatment Center, LLC310 Black Bear Ridge, Sautee Nacoochee, GA 30571Certificate of waiverNov 23, 2026

National Provider Directory

National Provider Directory
Part of
Dual Diagnosis Management LLC Dba Palmsprings Serenity Retreat

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1558788802",
    "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": "310 BLACK BEAR RDG",
            "city": "SAUTEE",
            "state": "GA",
            "postal_code": "305713500",
            "telephone_number": "470-539-6903",
            "fax_number": "706-438-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK BEAR TREATMENT CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATIONS RECOVERY NETWORK",
        "enumeration_date": "2014-03-25",
        "last_updated": "2019-05-14",
        "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": "GA",
            "license": "154208D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sautee, GA

Sources for this page

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