Organization Active NPI

Rebuilt Treatment and Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Spokane, WA
National Provider Identifier
1659122844
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REBUILT TREATMENT AND RECOVERY LLC
Practice address
1220 N Howard St
Spokane, WA 99201-2410
Phone
(509) 505-4415
Fax
(509) 621-2011
NPI assigned
Mar 27, 2024
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
None None
Title
None
Phone
(509) 505-4415

Specialties & licenses 1

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

Addresses

Primary practice location

1220 N Howard St
Spokane, WA 99201-2410

Mailing address

1220 N Howard St
Spokane, WA 99201-2410
Phone (509) 505-4415

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
50D2341838Rebuilt Treatment and Recovery1220 N Howard St, Spokane, WA 99201Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1220 N Howard St
Spokane, WA 99201
Phone (509) 467-7913

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1659122844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N HOWARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012410",
            "telephone_number": "509-505-4415",
            "fax_number": "509-621-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N HOWARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012410",
            "telephone_number": "509-505-4415",
            "fax_number": "509-621-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILT TREATMENT AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "NONE",
        "authorized_official_first_name": "NONE",
        "authorized_official_title_or_position": "NONE",
        "authorized_official_telephone_number": "509-505-4415"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.