Organization Active NPI

Choices Recovery

  • Substance Abuse Rehabilitation Facility
  • South Bend, IN
National Provider Identifier
1912303736
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CHOICES RECOVERY
Practice address
3606 E Jefferson Blvd
South Bend, IN 46615-3052
Phone
(574) 217-7769
Fax
(574) 217-7776
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Lyndsey Watson
Title
Admin
Phone
(574) 217-7769

Specialties & licenses 1

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

Addresses

Primary practice location

3606 E Jefferson Blvd
South Bend, IN 46615-3052

Mailing address

3606 E Jefferson Blvd
South Bend, IN 46615-3052
Phone (574) 217-7769

National Provider Directory

National Provider Directory

Locations

3606 E Jefferson Blvd
South Bend, IN 46615
Phone (574) 217-7769

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1912303736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153052",
            "telephone_number": "574-217-7769",
            "fax_number": "574-217-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153052",
            "telephone_number": "574-217-7769",
            "fax_number": "574-217-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LYNDSEY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "574-217-7769"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.