NPIMap

Organization Active NPI

Living Hope Recovery Center

  • Recovery Care Clinic/Center
  • Lake City, FL
National Provider Identifier
1760928212
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
LIVING HOPE RECOVERY CENTER
Practice address
1531 SW Commercial GLN
Lake City, FL 32025-0454
Phone
(386) 365-4635
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Keli Kornmiller
Title
Onboarding Manager
Phone
(561) 672-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

1531 SW Commercial GLN
Lake City, FL 32025-0454

Mailing address

1531 SW Commercial GLN
Lake City, FL 32025-0454
Phone (386) 365-4635

National Provider Directory

National Provider Directory
Tax ID family
Living Hope Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1760928212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 SW COMMERCIAL GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250454",
            "telephone_number": "386-365-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 SW COMMERCIAL GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250454",
            "telephone_number": "386-365-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "ONBOARDING MANAGER",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.