Organization Active NPI

RL Properties, Inc

Doing business as Recovery Living Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cookeville, TN
National Provider Identifier
1619093101
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
691 Issued in TN
Legal business name
RL PROPERTIES, INC
Doing business as
Recovery Living Services
Practice address
390 S Lowe Ave Ste 11
Cookeville, TN 38501-4706
Phone
(931) 520-4270
Fax
(931) 520-4275
NPI assigned
Mar 22, 2007
Last updated
Jul 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Mr. James Robert Stubblefield, SAC
Title
Operations Director
Phone
(931) 520-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 691 TN Primary

Addresses

Primary practice location

390 S Lowe Ave Ste 11
Cookeville, TN 38501-4706

Mailing address

PO Box 1073
Cookeville, TN 38503-1073
Phone (931) 520-4270

Other identifiers 1

IdentifierTypeStateIssuer
5441532MedicaidTN

Other names 1

  • Recovery Living Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Recovery Living Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

390 S Lowe Ave
Ste 11
Cookeville, TN 38501
Phone (931) 520-4270

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1619093101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1073",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385031073",
            "telephone_number": "931-520-4270",
            "fax_number": "931-520-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S LOWE AVE STE 11",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014706",
            "telephone_number": "931-520-4270",
            "fax_number": "931-520-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL PROPERTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "931-520-4270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TN",
            "license": "691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441532",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Living Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.