SANA LAKE RECOVERY CENTER, LLC (NPI# 1902430135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902430135 |
| Entity Type | Organization |
| Organization Name | SANA LAKE RECOVERY CENTER, LLC |
| Practice Address |
800 E 101st Ter Ste 350 Kansas City MO 64131-5310 |
| Mailing Address |
8350 Highway 30 Dittmer MO 63023-1909 |
| Practice Telephone | 8162224347 |
| Practice Fax Number | 8164079597 |
| Mailing Telephone | 6369444436 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | MS. STACY GLENN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3143923822 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577107 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 150 Sana Lake Recovery Way, Dittmer, MO 63023 | 2020-04-22 |
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1104450337 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 1512 Ne 96th St Ste A, Liberty, MO 64068-7174 | 2020-02-26 |
| 1902462278 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 8350 State Route 30, Dittmer, MO 63023 | 2019-05-13 |
| Street Address |
800 E 101ST TER STE 350 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64131-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308355 | Wellness Home Health Agency, LLC | Home Health | 800 E 101st Ter Ste 350, Kansas City, MO 64131-5310 | 2019-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765450 | Jordana D'neil Mancini | Speech-Language Pathologist | 1000 E 68th St, Kansas City, MO 64131 | 2020-09-16 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1053870139 | Katherine Field | Student in an Organized Health Care Education/Training Program | Goppert-trinity Family Care, 6675 Holmes Rd Suite 360, Kansas City, MO 64131 | 2019-03-18 |
| 1962998328 | Mandy Winkert | Registered Nurse | 6301 Rockhill Rd Ste 302, Kansas City, MO 64131 | 2018-07-09 |
| 1386149623 | Sarah Frederike Otter | Student in an Organized Health Care Education/Training Program | 6675 Holmes #360, Kansas City, MO 64131 | 2018-03-28 |
| 1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
| 1104346691 | Christy Ann Oxley | Occupational Therapist | 400 Bannister Rd, Suite A, Kansas Citty, MO 64131 | 2017-06-26 |
| 1407392095 | Kara Lea Thomas | Chiropractor | 1152 E 78th St, Kansas City, MO 64131 | 2017-01-06 |
| 1013373489 | Margaret's Place LLC | Clinic/Center | 7217 Troost Ave, Kansas City, MO 64131 | 2016-01-14 |
| Find all providers in zip 64131 | ||||
| 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 |
|---|---|---|---|---|
| 1225496052 | Betty Lou Wallace Recovery LLC | Substance Abuse Rehabilitation Facility | 13350 Holmes Rd, Kansas City, MO 64145-1437 | 2016-02-08 |
| 1801218276 | Serenity Counseling and Wellness Center | Substance Abuse Rehabilitation Facility | 7933 State Ave Ste 203, Kansas City, KS 66112-2468 | 2014-01-20 |
| 1740538982 | Frontline Intervention Solution Today-organization LLC Limited Liabili | Substance Abuse Rehabilitation Facility | 3211 N 38th St, Kansas City, KS 66104-3726 | 2012-08-20 |
| 1447388210 | Sarita'lynne Ministries | Substance Abuse Rehabilitation Facility | 207 W Linwood Blvd # 23, Kansas City, MO 64111-1327 | 2007-03-01 |
| 1881733418 | Deaf Hope Inc. | Substance Abuse Rehabilitation Facility | 930 Pacific Ave, Kansas City, KS 66101-3634 | 2007-02-06 |
| 1639218852 | Substance Abuse Center of East Kansas | Substance Abuse Rehabilitation Facility | 3505 Rainbow Blvd, Kansas City, KS 66103-2078 | 2007-02-05 |
| 1962542407 | Rediscover | Substance Abuse Rehabilitation Facility | 301 E Armour Blvd, 4th Floor, Kansas City, MO 64111-1245 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112967 | Hurdler Outreach Services LLC | Substance Abuse Rehabilitation Facility | 6425 Evanston Ave, Raytown, MO 64133-4931 | 2020-10-21 |
| 1912529041 | Ip Reserve | Substance Abuse Rehabilitation Facility | 21708 Nickel Ave, Gallatin, MO 64640-6369 | 2020-05-12 |
| 1417577107 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 150 Sana Lake Recovery Way, Dittmer, MO 63023 | 2020-04-22 |
| 1639723463 | Haven Recovery Homes | Substance Abuse Rehabilitation Facility | 3929 Michigan Ave, Saint Louis, MO 63118-4324 | 2019-07-30 |
| 1356875678 | Summit Bhc Saint Louis, LLC | Substance Abuse Rehabilitation Facility | 22933 Hwy 61, Eolia, MO 63344 | 2017-04-13 |
| 1821549122 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 2415 W Catalpa St, Springfield, MO 65807-1123 | 2016-10-21 |
| 1326414350 | Synergy Recovery Center | Substance Abuse Rehabilitation Facility | 3955 S Farm Road 223, Rogersville, MO 65742-8807 | 2015-08-13 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1932517653 | Summit Bhc Lafayette LLC | Substance Abuse Rehabilitation Facility | 551 Warren Ave, Saint Louis, MO 63130-4155 | 2014-07-25 |
| 1538571542 | Mothers Against Methamphetamine-opening Doors To Recovery | Substance Abuse Rehabilitation Facility | 17404 Freedom Rd, Willow Springs, MO 65793-7932 | 2014-05-25 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64131 |
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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.