Organization Active NPI

Rotary Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Northbrook, IL
National Provider Identifier
1609615558
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Nov 11, 2024

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)CodeLicenseStatePrimary
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 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
14D2321033Rotary Recovery3100 Dundee Rd - Ste 502, Northbrook, IL 60062Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.