NPIMap

Organization Active NPI

Highland Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Highland, IN
National Provider Identifier
1841832920
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HIGHLAND RECOVERY LLC
Practice address
9630 5TH St
Highland, IN 46322-2949
Phone
(219) 924-6953
NPI assigned
Oct 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Howard Bromberg
Title
Coo
Phone
(314) 784-4402

Specialties & licenses 1

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

Addresses

Primary practice location

9630 5TH St
Highland, IN 46322-2949

Mailing address

PO Box 191310
Saint Louis, MO 63119-7310

Other names 1

  • Hickory Treatment Center at Highland Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1841832920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631197310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 5TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222949",
            "telephone_number": "219-924-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "BROMBERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "314-784-4402"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Treatment Center at Highland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hickory Treatment Center at Highland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.