Kiva Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

A-6962-0001-A Issued in IL

Legal business name

KIVA RECOVERY LLC

Practice address

935 Lakeview Parkway
Suite 101
Vernon Hills, IL 60061

Phone

(847) 549-1500

NPI assigned

Dec 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Aaron

Title

President

Phone

(224) 470-2044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1639415318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 DEMPSTER",
            "address_2": "C/O DAMZN HEALTHCARE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "60053",
            "telephone_number": "224-470-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 LAKEVIEW PARKWAY",
            "address_2": "SUITE 101",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-549-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIVA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-470-2044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-6962-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Nicholas Kiriklakis, M.D.
• Alexander Kiseloff, LISW-S, LCSW
• Kish Psychiatric Services & Consulting, P.L.L.C.
• Kisker Dental Associates, LTD.
• William Ryan Kisker, DMD
• Megan M Kivarkis, DT
• Dena Jill Klapperich, PSY.D.
• Gary Todd Klein, D.D.S.M.S
• Ioulia Klemens, RD, LDN
• Tatiana Klingensmith, RDN

• Substance Use Disorder Rehabilitation Clinic/Center in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.