Organization Active NPI

St. Gregory Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Des Moines, IA
National Provider Identifier
1629525308
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1332 Issued in IA
Legal business name
ST. GREGORY RECOVERY CENTER, LLC
Practice address
1985 NE 51St PL
Des Moines, IA 50313-2517
Phone
(888) 778-5833
NPI assigned
Sep 9, 2016
Organization subpart
Yes
Parent organization
ST. GREGORY CENTERS HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
John Conway
Title
Chief Operating Officer
Phone
(515) 974-7487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1332 IA Primary

Addresses

Primary practice location

1985 NE 51St PL
Des Moines, IA 50313-2517

Mailing address

1211 Vine St
West Des Moines, IA 50265-4472
Phone (888) 778-5833

Other identifiers 1

IdentifierTypeStateIssuer
0112726MedicaidIA

Other names 1

  • ALPP Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alpp Institute6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1985 NE 51st Pl
Des Moines, IA 50313
Phone (515) 222-0910

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1629525308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 VINE ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654472",
            "telephone_number": "888-778-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 NE 51ST PL",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503132517",
            "telephone_number": "888-778-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GREGORY RECOVERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. GREGORY CENTERS HOLDINGS, LLC",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "515-974-7487"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IA",
            "license": "1332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112726",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPP Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.