HOPE RECOVERY KOKOMO LLC NPI 1710587910

NPI Information

NPI: 1710587910
Provider Name: HOPE RECOVERY KOKOMO, LLC

Doing Business As: WABASH RECOVERY

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1236 N. WABASH AVE
KOKOMO, IN
ZIP 46901
Phone: (310) 741-7199
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HOPE RECOVERY KOKOMO, LLC is a rehabilitation and substance use disorder clinic center in Kokomo, IN. HOPE RECOVERY KOKOMO, LLC NPI is 1710587910. The provider is registered as an organization entity type.
The provider Is Doing Business As Wabash Recovery.

The provider's business location address is:

1236 N. WABASH AVE
KOKOMO, IN
ZIP 46901
Phone: (310) 741-7199

The provider's authorized official is David Christenson .
The authorized official title is Manager and has the following contact phone number (317) 437-7040.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 11/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300057826	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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