Active NPI
Rotary Recovery LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Northbrook, IL
National Provider Identifier
1609615558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- ROTARY RECOVERY LLC
- Practice address
- 3100 Dundee Rd Ste 504
Northbrook, IL 60062-2449 - Phone
- (847) 595-1300
- NPI assigned
- May 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel Bernath
- Title
- Ceo
- Phone
- (847) 595-1300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
3100 Dundee Rd Ste 504
Northbrook, IL 60062-2449
Mailing address
2360 Lakewood Road
Suite 2 Num 164
Toms River, NJ 08755
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2321033 | Rotary Recovery | Certificate of waiver | Mar 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
2360 Lakewood Rd
Ste 2
Toms River, NJ 08755
Phone (929) 236-6849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731283200000",
"number": "1609615558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 LAKEWOOD ROAD",
"address_2": "SUITE 2 NUM 164",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 DUNDEE RD STE 504",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622449",
"telephone_number": "847-595-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROTARY RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-21",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A",
"authorized_official_last_name": "BERNATH",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-595-1300"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.