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JESSICA LANE RE, LLC
NPI 1023820073
Substance Abuse Rehabilitation Facility in Gladstone, MO

Active since January 24, 2025
305 NW ENGLEWOOD CT STE 300, GLADSTONE, MO 64118(754) 300-3120(888) 919-4431 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Lane Re, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LANE RE, LLC (NPI 1023820073), doing business as The Recovery Village Kansas City, is a healthcare organization registered as a substance abuse rehabilitation facility in Gladstone, Missouri and active in the NPI registry since January 2025. The organization lists Belina Surujon, Vp Contracting & Licensing, as its authorized official.

NPPES Registry Identity

NPI1023820073
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameJESSICA LANE RE, LLC
Location Address305 NW ENGLEWOOD CT STE 300Gladstone, MO 64118-4000
Mailing Address2200 N Commerce Pkwy Ste 200Weston, FL 33326-3258 · (754) 300-3120
Phone(754) 300-3120
Fax(888) 919-4431
Organization SubpartNo
Authorized OfficialBelina SurujonVp Contracting & Licensing · (305) 785-5520
Enumeration DateJanuary 24, 2025
Last NPPES UpdateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1023820073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
305 NW ENGLEWOOD CT STE 300, Gladstone, MO 64118
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Other Names 2

Doing Business AsThe Recovery Village Kansas City
Doing Business AsThe Recovery Village Kansas City Outpatient Center

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY MARKUM LSCSW, LCSW
Social Worker (Clinical)
305 NW ENGLEWOOD CT STE 300
GLADSTONE, MO 64118
Clay County (816) 453-7473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Lane Re, LLC's NPI number?

The NPI number for Jessica Lane Re, LLC is 1023820073. It was assigned to this organization in the NPPES registry on January 24, 2025. The provider is doing business as The Recovery Village Kansas City and The Recovery Village Kansas City Outpatient Center.

Where is Jessica Lane Re, LLC located?

Jessica Lane Re, LLC is located at 305 NW Englewood Ct Ste 300, Gladstone, MO 64118. The listed phone number is (754) 300-3120.

What is Jessica Lane Re, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Jessica Lane Re, LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.