Organization Active NPI

Recovering Hope Treatment Center, Inc.

Doing business as Recovering Hope Outpatient Services

  • Community/Behavioral Health Agency
  • Mora, MN
National Provider Identifier
1942780960
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RECOVERING HOPE TREATMENT CENTER, INC.
Doing business as
Recovering Hope Outpatient Services
Practice address
2031 Rowland Rd
Mora, MN 55051-7119
Phone
(320) 364-1315
Fax
(320) 364-1320
NPI assigned
Aug 20, 2018
Organization subpart
Yes
Parent organization
RECOVERING HOPE TREATMENT CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Jenna Karen Ludowese
Title
Credentialing
Phone
(320) 364-1314

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

2031 Rowland Rd
Mora, MN 55051-7119

Mailing address

2031 Rowland Rd
Mora, MN 55051-7119
Phone (320) 364-1315

Other identifiers 3

IdentifierTypeStateIssuer
821605200MedicaidMN
752680200MedicaidMN
963490100MedicaidMN

Other names 1

  • Recovering Hope Outpatient Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Recovering Hope Treatment Center Inc2 organizations share this tax ID, including this one
Part of
Recovering Hope Treatment Center Inc

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": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1942780960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 ROWLAND RD",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550517119",
            "telephone_number": "320-364-1315",
            "fax_number": "320-364-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 ROWLAND RD",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550517119",
            "telephone_number": "320-364-1315",
            "fax_number": "320-364-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERING HOPE TREATMENT CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVERING HOPE TREATMENT CENTER, INC.",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "LUDOWESE",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "320-364-1314"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821605200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752680200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "963490100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovering Hope Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recovering Hope Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mora, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.