Organization Active NPI

Addiction Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Concordia, KS
National Provider Identifier
1992339261
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ADDICTION RECOVERY CENTER, LLC
Practice address
516 Washington St
Concordia, KS 66901-2117
Phone
(785) 243-4164
NPI assigned
Feb 26, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lynell B Kallman
Title
Owner
Phone
(785) 243-4164

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

516 Washington St
Concordia, KS 66901
Phone (785) 243-4164

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

516 Washington St
Concordia, KS 66901-2117

Mailing address

PO Box 254
Concordia, KS 66901-0254

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2020.

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1992339261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669010254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 WASHINGTON ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669012117",
            "telephone_number": "785-243-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "KALLMAN",
        "authorized_official_first_name": "LYNELL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-243-4164"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concordia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.