THE SCOTT RECOVERY RETREAT (NPI# 1699065599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699065599 |
| Entity Type | Organization |
| Organization Name | THE SCOTT RECOVERY RETREAT |
| Practice Address |
4030 Pali Moana Place Kilauea HI 96754 |
| Mailing Address |
960 Stradella Road Los Angeles CA 90077 |
| Practice Telephone | 3106910058 |
| Mailing Telephone | 3104763110 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |
| Authorized Official Name | MS. KATHLEEN MARIE CONWAY (CEO) |
| Authorized Official Telephone | 3106910058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | HI | Residential Treatment Facilities |
| Street Address |
4030 PALI MOANA PLACE |
| City | KILAUEA |
| State | HI |
| Zip Code | 96754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511100 | Lighthouse Therapy & Diagnostic Services | Psychologist | 2509 Kolo Road, Kilauea, HI 96754 | 2020-02-25 |
| 1679070403 | Tyler Yamauchi Rautmann | Massage Therapist | 7729 Koolau Rd, Kilauea, HI 96754 | 2018-04-09 |
| 1871035303 | Asher Lyman | Behavioral Analyst | 4141 Kilauea Rd, Kilauea, HI 96754 | 2016-11-15 |
| 1891142980 | Harley Kauai Makani Ness | Contractor | 4325 Ioela Pl, Kilauea, HI 96754 | 2016-05-18 |
| 1699025924 | Jeffrey Curtis Goodman | Family Medicine | 5454 Kahiliholo Road, Kilauea, HI 96754 | 2012-09-13 |
| 1356586614 | Dana Louise Ross | Contractor | 4440 Hookui Road, #7a, Kilauea, HI 96754 | 2008-12-15 |
| 1518008333 | Steven Hillary Backinoff | Physical Therapist | 2207 Io'ela Street, Ste A, Kilauea, HI 96754 | 2007-02-12 |
| 1174617666 | Arnold I. Serota | Surgery | 4801 Wailapa Rd, Kilauea, HI 96754 | 2006-10-02 |
| 1215188271 | Penny Leilani Ornellas | Massage Therapist | 4270 Kilauea Rd, Kilauea, HI 96754 | 2008-10-08 |
| 1518137660 | Dr Gerald J Felcher | Chiropractor | 4270 Kilauea Rd, Suite I, Kilauea, HI 96754 | 2008-03-05 |
| Find all providers in zip 96754 | ||||
| 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 |
|---|---|---|---|---|
| 1003413097 | Providence Living LLC | Substance Abuse Rehabilitation Facility | 1188 Bishop St Ste 1008, Honolulu, HI 96813-3304 | 2020-10-03 |
| 1215474317 | New Leaf Treatment Centre LLC | Substance Abuse Rehabilitation Facility | 152 Lakeview Circle, Wahiawa, HI 96786 | 2017-01-26 |
| 1346793114 | Debra Bayer Inc | Substance Abuse Rehabilitation Facility | 1325 S Kihei Rd Ste 215, Kihei, HI 96753 | 2016-07-28 |
| 1598902744 | Narconon Hawaii | Substance Abuse Rehabilitation Facility | 90-1011 Lexington Avenue, Kapolei, HI 76707 | 2009-01-09 |
| 1578689816 | Kline-welsh Behavioral Health Fondation | Substance Abuse Rehabilitation Facility | 1240 Sand Island Pkwy, Honolulu, HI 96819-4315 | 2007-03-21 |
| 1194883553 | Ho'omau Ke Ola | Substance Abuse Rehabilitation Facility | 85-761 Farrington Hwy, Waianae, HI 96792-2463 | 2006-12-05 |
| 1740358118 | The Alcoholic Rehabilitation Services of Hawaii Inc | Substance Abuse Rehabilitation Facility | 45-845 Pookela St, Kaneohe, HI 96744-5700 | 2006-12-01 |
| 1871660902 | Salvation Army Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 3624 Waokanaka St, Honolulu, HI 96817-5224 | 2006-11-30 |
| 1740629310 | Jeffrey James Baumann | Substance Abuse Rehabilitation Facility | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2013-06-17 |
| 1457642076 | Aloha House | Substance Abuse Rehabilitation Facility | 200 Ike Dr, Makawao, HI 96768-9718 | 2011-04-29 |
| Find all providers with the same taxonomy | ||||
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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.