Organization Active NPI

Paul K Reed Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Alamosa, CO
National Provider Identifier
1760220016
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PAUL K REED RECOVERY CENTER
Practice address
1317 17TH St
Alamosa, CO 81101-3555
Phone
(720) 955-1880
NPI assigned
Jul 19, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Justin Luke Riley
Title
Ceo
Phone
(720) 955-1880

Specialties & licenses 1

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

Addresses

Primary practice location

1317 17TH St
Alamosa, CO 81101-3555

Mailing address

PO Box 5334
Greenwood VLG, CO 80155-5334
Phone (720) 955-1880

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
06D2308690Paul K Reed Recovery Center1317 17TH St, Alamosa, CO 81101Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1760220016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5334",
            "city": "GREENWOOD VLG",
            "state": "CO",
            "postal_code": "801555334",
            "telephone_number": "720-955-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 17TH ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811013555",
            "telephone_number": "720-955-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL K REED RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-955-1880"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.