NPIMap

Organization Active NPI

Pinnacle Treatment Centers Ky-1, LLC D/B/a Recovery Works Greenup

Doing business as Recovery Works Greenup

  • Substance Abuse Rehabilitation Facility
  • South Shore, KY
National Provider Identifier
1760922645
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PINNACLE TREATMENT CENTERS KY-1, LLC D/B/A RECOVERY WORKS GREENUP
Doing business as
Recovery Works Greenup
Practice address
4634 State Route 1043
South Shore, KY 41175-7661
Phone
(606) 498-4174
NPI assigned
Feb 27, 2017
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Robyn Tanis
Title
Executive Director of Contract Mana
Phone
(856) 533-8762

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU

Addresses

Primary practice location

4634 State Route 1043
South Shore, KY 41175-7661

Mailing address

4634 State Route 1043
South Shore, KY 41175-7661
Phone (606) 498-4174

Other practice location 1

258 Biggs Ln
South Shore, KY 41175-7848
Phone (606) 498-4174

Other practice location 2

1715 Madison Ave
Covington, KY 41011-3330
Phone (859) 279-3287

Other names 1

  • Recovery Works Greenup Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Treatment Centers Ky-I LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1715 Madison Ave
Covington, KY 41011
Phone (859) 279-3287

258 Biggs Ln
South Shore, KY 41175
Phone (606) 498-4174

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1760922645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 STATE ROUTE 1043",
            "city": "SOUTH SHORE",
            "state": "KY",
            "postal_code": "411757661",
            "telephone_number": "606-498-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 STATE ROUTE 1043",
            "city": "SOUTH SHORE",
            "state": "KY",
            "postal_code": "411757661",
            "telephone_number": "606-498-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 Biggs Ln",
            "address_purpose": "LOCATION",
            "city": "South Shore",
            "state": "KY",
            "postal_code": "411757848",
            "country_code": "US",
            "telephone_number": "606-498-4174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410113330",
            "country_code": "US",
            "telephone_number": "859-279-3287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS KY-1, LLC D/B/A RECOVERY WORKS GREENUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MANA",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Works Greenup",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Shore, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.