THE LINK DUAL RECOVERY PROGRAM (NPI# 1639615198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639615198 |
| Entity Type | Organization |
| Organization Name | THE LINK DUAL RECOVERY PROGRAM |
| Practice Address |
305 N 9th St Norfolk NE 68701-3915 |
| Practice Telephone | 4029994771 |
| Practice Fax Number | 4023709810 |
| Mailing Telephone | 4029994771 |
| Mailing Fax Number | 4023709810 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | MR. TOM R BARR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4023715310 |
| Authorized Official Credential | LMHP, LADC |
| Is Organization Subpart | Y |
| Parent Organization Name | THE LINK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 252 | NE | Residential Treatment Facilities |
| Street Address |
305 N 9TH ST |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992033567 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 305 N 9th St, Norfolk, NE 68701-3915 | 2009-11-19 |
| 1487070686 | Matthew Schmeckpeper | Counselor | 305 N 9th St, Norfolk, NE 68701 | 2014-03-12 |
| 1619269982 | Renee Otto-berglund | Counselor | 305 N 9th St, Norfolk, NE 68701-3915 | 2011-05-05 |
| 1750673109 | Susan Pryor-johnson | Counselor | 305 N 9th St, Norfolk, NE 68701-3915 | 2011-05-04 |
| 1720316391 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 305 N 9th St, Norfolk, NE 68701-3915 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679905269 | Rest Haven LLC | Community Based Residential Treatment Facility, Mental Illness | 1005 Bland St, Norfolk, VA 23513-3386 | 2013-08-06 |
| 1386802759 | Achievers House | Community Based Residential Treatment Facility, Mental Illness | 1702 Brown Ave, Norfolk, VA 23504-4405 | 2008-06-01 |
| 1508036054 | Covenant 21st Century Ministries, Inc | Community Based Residential Treatment Facility, Mental Illness | 260 Filbert St, Norfolk, VA 23505-4410 | 2008-03-11 |
| 1720282858 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 1352 Hanson Ave, Norfolk, VA 23504-2965 | 2007-06-13 |
| 1912101049 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 2252 Barraud Ave, Norfolk, VA 23504-2624 | 2007-06-13 |
| 1245434752 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 238 W 30th St, Norfolk, VA 23504-1520 | 2007-06-11 |
| 1285838797 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 3115 Lorraine Ave, Norfolk, VA 23509-1127 | 2007-06-11 |
| 1326240300 | Bj Associates | Community Based Residential Treatment Facility, Mental Illness | 901 E Indian River Rd, Norfolk, VA 23523-1723 | 2007-06-02 |
| 1811023997 | Campbell House Inc | Community Based Residential Treatment Facility, Mental Illness | 2531 Vincent Ave, Norfolk, VA 23509-2339 | 2007-02-26 |
| 1326364696 | Purvis Network Inc. | Community Based Residential Treatment Facility, Mental Illness | 2829 Mapleton Ave, Norfolk, VA 23504-3721 | 2010-04-12 |
| Find all providers in NORFOLK | ||||
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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.