LINCOLN NOVA VITAL RECOVERY (NPI# 1912473752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912473752 |
| Entity Type | Organization |
| Organization Name | LINCOLN NOVA VITAL RECOVERY |
| Practice Address |
4396 Hwy, 80 617 South Trention Ruston LA 71270 |
| Mailing Address |
203 Brian Drive West Monroe LA 71291 |
| Practice Telephone | 3182350503 |
| Practice Fax Number | 3182514659 |
| Mailing Telephone | 3182350503 |
| Mailing Fax Number | 3182514659 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | MRS. JEWEL M MAY (ADMINISTRATOR) |
| Authorized Official Telephone | 3182350503 |
| Authorized Official Credential | MA, SACN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
4396 HWY, 80 617 SOUTH TRENTION |
| City | RUSTON |
| State | LA |
| Zip Code | 71270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| 1881123289 | Shayla Jackson | Counselor | 775 South Bonner Street, Ruston, LA 71270 | 2017-06-08 |
| Find all providers in zip 71270 | ||||
| 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 |
|---|---|---|---|---|
| 1720690811 | Elevate Recovery Project, LLC | Substance Abuse Rehabilitation Facility | 7742 Office Park Blvd Ste C2, Baton Rouge, LA 70809-8636 | 2020-08-19 |
| 1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
| 1215550736 | Cataldie Publishing LLC | Substance Abuse Rehabilitation Facility | 349 Highway 61, Jackson, LA 70748-4218 | 2020-05-19 |
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1881233419 | Addiction Solutions LLC | Substance Abuse Rehabilitation Facility | 216 Ouachita Ave Ste B, Monroe, LA 71201-8513 | 2019-12-30 |
| 1801430962 | Baton Rouge Recovery Health LLC | Substance Abuse Rehabilitation Facility | 3600 Florida Blvd Ste 4t, Baton Rouge, LA 70806-3842 | 2019-11-01 |
| 1134788797 | Odyssey House Louisiana, Inc | Substance Abuse Rehabilitation Facility | 2700 S. Broad St, New Orleans, LA 70125 | 2019-06-07 |
| 1518424258 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4330 Loveland St Ste A, Metairie, LA 70006-4179 | 2019-03-01 |
| 1346707080 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 7434 Picardy Ave Ste A&b, Baton Rouge, LA 70808-7204 | 2019-03-01 |
| 1528525268 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy Ste C110, Lafayette, LA 70508-6937 | 2019-03-01 |
| 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.