ABLE RECOVERY 1 LLC NPI 1770944852

NPI Information

  • NPI: 1770944852
  • Provider Name: ABLE RECOVERY 1 LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: 'ABLE RECOVERY 1, LLC
  • CLIA Number: 37D2121670
  • Address: 4901 S PENNSYLVANIA AVE
    OKLAHOMA CITY, OK
    ZIP 73119
  • Phone: (405) 605-4005

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NPI Details

ABLE RECOVERY 1 LLC is a rehabilitation and substance use disorder clinic center in Oklahoma City, OK. ABLE RECOVERY 1 LLC NPI is 1770944852. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is 'able Recovery 1, Llc.

The provider's business location address is:

4901 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK
ZIP 73119-945
Phone: (405) 605-4005
Fax: (405) 601-2023

The provider's authorized official is Salman Alam .
The authorized official title is Authorized Official and has the following contact phone number (580) 340-0525.

The CLIA number assigned to this NPI record is 37D2121670 - other - substance abuse facility with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 3/16/2016 and was last updated on 9/12/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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
1200708750AMEDICAIDOKLAHOMA

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: 3/30/2025

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