Arista Recovery Operator at Paola, LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Overland Park, KS
NPI 1639745185 · NPPES record last updated Aug 25, 2023
Key facts
- NPI
- 1639745185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- ARISTA RECOVERY OPERATOR AT PAOLA, LLC
- Practice address
- 9401 Reeds Rd Ste 101
Overland Park, KS 66207-2532 - Phone
- (913) 349-1700
- Fax
- (913) 336-4644
- NPI assigned
- Jun 3, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Steven Jeger
- Title
- VP
- Phone
- (305) 651-3261
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2260607 | Arista Recovery Operator at Paola LLC | Certificate of waiver | May 19, 2028 |
National Provider Directory
- Tax ID family
- Arista Recovery Operator at Paola LLC
Locations
9401 Reeds Rd
Ste 101
Overland Park, KS 66207
Phone (913) 349-1700
901 E Miami St
Paola, KS 66071
Phone (786) 307-3952
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
9401 Reeds Rd Ste 101
Overland Park, KS 66207-2532
Mailing address
1000 Park Centre Blvd Ste 134
Miami, FL 33169-5373
Phone (786) 307-3952
Other practice location 1
901 E Miami St
Paola, KS 66071-1879
Phone (786) 307-3952
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.