NPIMap

Organization Active NPI

Lantana Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charleston, SC
National Provider Identifier
1801431069
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LANTANA RECOVERY
Practice address
65 Gadsden St
Charleston, SC 29401-1145
Phone
(314) 603-3492
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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

Authorized official

Name
Warren PhillipsNPI 1063081255
Title
Owner
Phone
(314) 603-3492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

65 Gadsden St
Charleston, SC 29401-1145

Mailing address

65 Gadsden St
Charleston, SC 29401-1145

National Provider Directory

National Provider Directory

Locations

65 Gadsden St
Charleston, SC 29401
Phone (843) 352-9982

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627689600000",
    "number": "1801431069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GADSDEN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GADSDEN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011145",
            "telephone_number": "314-603-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTANA RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-603-3492"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; 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.