Landmark Recovery of Carmel LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LANDMARK RECOVERY OF CARMEL LLC

Practice address

60257 Bodnar Blvd
Mishawaka, IN 46544-9342

Phone

(574) 850-3071

Fax

(888) 505-8568

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Alicia Neal

Title

Contracting Specialist

Phone

(615) 281-9050

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Landmark Recovery of Carmel LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Landmark Recovery of Carmel LLC

  • Substance Abuse Rehabilitation Facility
  • Bluffton, IN
  • NPI 1033881826
  NPD tax ID
• Landmark Recovery of Carmel LLC

  • Substance Abuse Rehabilitation Facility
  • Ladoga, IN
  • NPI 1093460636
  NPD tax ID
• Landmark Recovery of Carmel LLC

  • Substance Abuse Rehabilitation Facility
  • Carmel, IN
  • NPI 1578121547
  NPD tax ID
• Landmark Recovery of Carmel LLC

  • Substance Abuse Rehabilitation Facility
  • Indianapolis, IN
  • NPI 1710511068
  NPD tax ID

Practitioners 1

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.

• William Winfrey Starks, MD

  • Family Medicine Physician
  • Uvalde, TX
  • NPI 1164624250
  NPD (past)

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1720732076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD STE 500",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60257 BODNAR BLVD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449342",
            "telephone_number": "574-850-3071",
            "fax_number": "888-505-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY OF CARMEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "615-281-9050"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300064066",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Lambert, MD
• Kathryn P Lambourne, M.D.
• Allison M Lamont, MD
• Jacquelyn Lamont
• Carl D Landis, ATC
• Justin Lang
• Kelsey Marie Lang
• Jeff Russell Langham, RPH
• Dawn Elizabeth Lanser, R.N.
• Dawn R Lapierre, M.P.T.

• Substance Abuse Rehabilitation Facility in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.