Organization Active NPI

Landmark Recovery Outpatient Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, KY
National Provider Identifier
1972075844
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LANDMARK RECOVERY OUTPATIENT SERVICES LLC
Practice address
1510 Newtown Pike Ste 120
Lexington, KY 40511-1255
Phone
(888) 448-0302
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Nicholas James Losole
Title
President
Phone
(480) 550-2163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1510 Newtown Pike Ste 120
Lexington, KY 40511-1255

Mailing address

4835 E Cactus Rd Ste 130
Scottsdale, AZ 85254-3545
Phone (888) 448-0302

Other identifiers 1

IdentifierTypeStateIssuer
800286OtherKYLICENSE

Other names 1

  • Landmark Recovery of Lexington Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Landmark Recovery of Lexington4 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": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1972075844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 E CACTUS RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543545",
            "telephone_number": "888-448-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 NEWTOWN PIKE STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111255",
            "telephone_number": "888-448-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY OUTPATIENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "LOSOLE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-550-2163"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "800286",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark Recovery of Lexington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.