Organization Active NPI

Sanative Recovery and Wellness Ga LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roswell, GA
National Provider Identifier
1740974443
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SANATIVE RECOVERY AND WELLNESS GA LLC
Practice address
1000 Holcomb Woods Pkwy Ste 112
Roswell, GA 30076-2588
Phone
(943) 777-3250
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Stephen Engel
Title
Ceo
Phone
(732) 285-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1000 Holcomb Woods Pkwy Ste 112
Roswell, GA 30076-2588

Mailing address

1195 N Maple Ave
Toms River, NJ 08755-1321

National Provider Directory

National Provider Directory

Locations

1000 Holcomb Woods Pkwy
Ste 112
Roswell, GA 30076
Phone (943) 777-3250

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1740974443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 N MAPLE AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOLCOMB WOODS PKWY STE 112",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762588",
            "telephone_number": "943-777-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANATIVE RECOVERY AND WELLNESS GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-285-4800"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

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