LANDMARK RECOVERY OF LOUISVILLE LLC (NPI# 1205307220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205307220 |
| Entity Type | Organization |
| Organization Name | LANDMARK RECOVERY OF LOUISVILLE LLC |
| Practice Address |
4825 Nw 23rd St Oklahoma City OK 73127-1800 |
| Mailing Address |
4835 E Cactus Rd Ste 130 Scottsdale AZ 85254-3545 |
| Practice Telephone | 8884480302 |
| Mailing Telephone | 8884480302 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | JESSICA PROCHUT (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4806198556 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Landmark Recovery of Oklahoma City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477914166 | Landmark Recovery of Louisville LLC | Substance Abuse Rehabilitation Facility | 4418 Malcolm Ave, Louisville, KY 40215-1122 | 2016-03-09 |
| Street Address |
4825 NW 23RD ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73127-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083815856 | Windsor Manor Assisted Living | Assisted Living Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2007-05-30 |
| 1811515687 | Adrian Nicole Mason | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2020-07-08 |
| 1780215806 | Giovanni A Flamminio | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2020-01-28 |
| 1073154662 | Landmark Recovery of Oklahoma City Ops LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-10-04 |
| 1013564319 | Landmark Recovery of Oklahoma City, LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-08-21 |
| 1992279756 | Alec Peterson | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-01-15 |
| 1366916132 | Katherine Connell | Counselor | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-01-15 |
| 1821562919 | Landmark Recovery Outpatient Services, LLC | Clinic/Center | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-01-11 |
| 1952874455 | Jordyn Ashlee-nicole Richardson | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-01-07 |
| 1154893642 | Scott Arthur Curtis | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
| 1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
| 1952652836 | Kevin Kent Shelton Sr. | Behavioral Analyst | 2120 East Harlow Place, Oklahoma City, OK 73127 | 2012-10-02 |
| 1548537962 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 6620 Melrose Ln., Oklahoma City, OK 73127 | 2011-11-30 |
| 1326370065 | Karen Lou Gault | Counselor | 7201 N. W. 10th, Okc, OK 73127 | 2010-02-05 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 1306068432 | Emerald Square Assisted Living, LLC | Assisted Living Facility | 701 North Council Road, Oklahoma City, OK 73127 | 2007-05-02 |
| 1447377585 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 6101 West Reno, Suite 800, Oklahoma City, OK 73127 | 2007-03-23 |
| 1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
| 1447345178 | Tim Guinn | Pharmacist | 4911 N.w. 23rd Street, Oklahoma City, OK 73127 | 2006-10-04 |
| Find all providers in zip 73127 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154662 | Landmark Recovery of Oklahoma City Ops LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-10-04 |
| 1013564319 | Landmark Recovery of Oklahoma City, LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-08-21 |
| 1134604895 | Life and Hope Counseling Agnecy | Substance Abuse Rehabilitation Facility | 2212 Sw 55th St, Oklahoma City, OK 73119-7009 | 2018-09-28 |
| 1790142784 | Vizarc LLC | Substance Abuse Rehabilitation Facility | 700 Nw 7th St, Oklahoma City, OK 73102-1212 | 2016-01-21 |
| 1760896385 | Tiffany Mathes | Substance Abuse Rehabilitation Facility | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2014-06-12 |
| 1093153942 | Steven Phillips | Substance Abuse Rehabilitation Facility | 824 East Dr, Oklahoma City, OK 73105-8418 | 2013-06-12 |
| 1477837276 | Catalyst Behavioral Services | Substance Abuse Rehabilitation Facility | 1501 Ne 11th St, Oklahoma City, OK 73117-2605 | 2011-09-29 |
| 1336331982 | Jordan's Crossing Inc | Substance Abuse Rehabilitation Facility | 301 W I 240 Service Rd, Oklahoma City, OK 73139-7701 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301893 | Second Chance Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 4238 Ne 1st St, Pryor, OK 74361-9614 | 2020-06-24 |
| 1912551805 | Estelle Hawkins | Substance Abuse Rehabilitation Facility | 21227 N County Road 3350, Wynnewood, OK 73098-9356 | 2019-07-29 |
| 1902359391 | Ryan Fitzpatrick | Substance Abuse Rehabilitation Facility | 7138 S Canton Ave, Tulsa, OK 74136-6303 | 2016-08-02 |
| 1609223866 | Seven Ponds Energy LLC Dba Seven Ponds Residential Treatment | Substance Abuse Rehabilitation Facility | 1760 Blevins Rd., Bennington, OK 74723 | 2016-05-18 |
| 1679938534 | Claudia Antoinette Parker | Substance Abuse Rehabilitation Facility | 301 Pointe Parkway Blvd Apt 706, Yukon, OK 73099-0641 | 2015-12-20 |
| 1184089328 | Door 2 Ur Future | Substance Abuse Rehabilitation Facility | 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 | 2015-12-15 |
| 1144627233 | Denise Evyonne Engram | Substance Abuse Rehabilitation Facility | 4723 S Ash Dr, Broken Arrow, OK 74011-3464 | 2014-12-04 |
| 1093127979 | Kimberly Ann Kelly-lorenz | Substance Abuse Rehabilitation Facility | 163 Mohawk Dr, Canadian, OK 74425-9747 | 2014-05-27 |
| 1558783589 | Vizown LLC | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2014-01-10 |
| 1104256684 | Robert Watson | Substance Abuse Rehabilitation Facility | 111 W 5th St Ste 600, Tulsa, OK 74103-4260 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.