Recovery Concepts LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RECOVERY CONCEPTS LLC

Practice address

17100 Dixie Hwy
Suite D & E
Hazel Crest, IL 60429-1485

Phone

(708) 335-1155

Fax

(708) 335-1171

NPI assigned

Dec 19, 2016

Last updated

Jul 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard William Mankinen, MDNPI 1639379209

Title

Ceo

Phone

(615) 512-4539

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Opioid treatment program

Medicare-enrolled since Jan 13, 2020

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard William Mankinen, MD

  • Body Imaging Physician
  • New Orleans, LA
  • NPI 1639379209
  NPD Authorized official
• Patricia Johnsen, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Hazel Crest, IL
  • NPI 1831076074
  NPD
• Usha D Malkerneker, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Hazel Crest, IL
  • NPI 1568525277
  NPD
• Susan K Mantell, MD

  • Family Medicine Physician
  • Philo, IL
  • NPI 1881651461
  NPD
• Michael Green, CADC, MISA

  • Addiction (Substance Use Disorder) Counselor
  • Hazel Crest, IL
  • NPI 1992269039
  NPD (past)
• Shirley Jean Hightower, CADC, MISA

  • Addiction (Substance Use Disorder) Counselor
  • Hazel Crest, IL
  • NPI 1255895223
  NPD (past)
• Lee Edward Houston, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Hazel Crest, IL
  • NPI 1699239681
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1942744453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 DIXIE HWY STE D",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291485",
            "telephone_number": "708-335-1155",
            "fax_number": "708-335-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 DIXIE HWY",
            "address_2": "SUITE D & E",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291485",
            "telephone_number": "708-335-1155",
            "fax_number": "708-335-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "MANKINEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-512-4539",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Subba V Rao, MD
• Chanel Raybon
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• Reestablishing Hope Inc
• Edward Refundo, DPT
• Vienne Reid, LCSW
• Stewart Reingold, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.