NPIMap

Organization Active NPI

Pinnacle Treatment Centers Ky-I, LLC

Doing business as Recovery Works

  • Substance Abuse Rehabilitation Facility
  • Georgetown, KY
National Provider Identifier
1588927339
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
101720 Issued in KY
Legal business name
PINNACLE TREATMENT CENTERS KY-I, LLC
Doing business as
Recovery Works
Practice address
3107 Cincinnati Rd
Georgetown, KY 40324-9505
Phone
(502) 570-9313
Fax
(502) 867-7978
NPI assigned
Jun 18, 2012
Organization subpart
Yes
Parent organization
PINNACLE TREATMENT CENTERS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Robyn Tanis
Title
Exec Dir Contract MGMT
Phone
(856) 533-8762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X KY
Substance Abuse Rehabilitation Facility 324500000X 101720 KY Primary

Addresses

Primary practice location

3107 Cincinnati Rd
Georgetown, KY 40324-9505

Mailing address

1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111

Other practice location 1

105 Eastside Dr
Georgetown, KY 40324-9797
Phone (502) 570-9313

Other practice location 2

1717 Madison Ave Ste A
Covington, KY 41011-3330
Phone (859) 613-3722

Other practice location 3

1715 Madison Ave
Covington, KY 41011-3330
Phone (859) 279-3287

Other identifiers 1

IdentifierTypeStateIssuer
7100323040MedicaidKY

Other names 1

  • Recovery Works Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Treatment Centers Ky-I LLC12 organizations share this tax ID, including this one
Part of
Pinnacle Treatment Centers Oh -Xvii

Other organizations with this tax ID 11

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

Locations

1717 Madison Ave
Ste A
Covington, KY 41011
Phone (859) 613-3722

105 Eastside Dr
Georgetown, KY 40324
Phone (502) 570-9313

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1588927339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 CINCINNATI RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249505",
            "telephone_number": "502-570-9313",
            "fax_number": "502-867-7978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Eastside Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249797",
            "country_code": "US",
            "telephone_number": "502-570-9313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Madison Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410113330",
            "country_code": "US",
            "telephone_number": "859-613-3722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410113330",
            "country_code": "US",
            "telephone_number": "859-279-3287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS KY-I, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE TREATMENT CENTERS INC.",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXEC DIR CONTRACT MGMT",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "KY",
            "license": "101720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100323040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Works",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recovery Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.