NPIMap

Organization Active NPI

Kincasa Recovery Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Shrewsbury, MA
National Provider Identifier
1962343277
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KINCASA RECOVERY CENTERS LLC
Practice address
276 Green St
Shrewsbury, MA 01545-4703
Phone
(323) 546-2272
NPI assigned
Apr 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Dennis Theriault
Title
Chief Operations Officer
Phone
(603) 440-8618

Specialties & licenses 1

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

Addresses

Primary practice location

276 Green St
Shrewsbury, MA 01545-4703

Mailing address

276 Green St
Shrewsbury, MA 01545-4703

National Provider Directory

National Provider Directory
Tax ID family
Kincasa Recovery Centers LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1962343277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 GREEN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 GREEN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454703",
            "telephone_number": "323-546-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINCASA RECOVERY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "THERIAULT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "603-440-8618"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.