CARDINAL RECOVERY LLC NPI 1710632724

NPI Information

  • NPI: 1710632724
  • Provider Name: CARDINAL RECOVERY LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 15D2275405
  • Address: 3606 E JEFFERSON BLVD
    SOUTH BEND, IN
    ZIP 46615
  • Phone: (657) 304-0103

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NPI Details

CARDINAL RECOVERY LLC is a substance abuse rehabilitation facility in South Bend, IN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CARDINAL RECOVERY LLC NPI is 1710632724. The provider is registered as an organization entity type.

The provider's business location address is:

3606 E JEFFERSON BLVD
SOUTH BEND, IN
ZIP 46615-052
Phone: (657) 304-0103

The provider's authorized official is Adam Bhaijee .
The authorized official title is Chief Financial Officer and has the following contact phone number (917) 494-5753.

The CLIA number assigned to this NPI record is 15D2275405 - other - substance use treatment f with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2022 and was last updated on 5/7/2025.

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 License Number License State Primary
1261Q00000XClinic/CenterNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3283Q00000XPsychiatric HospitalNo
4323P00000XPsychiatric Residential Treatment FacilityNo
5324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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