BISON RIDGE RECOVERY LODGE, LLC
NPI 1033948559
Clinic/Center - Rehabilitation, Substance Use Disorder in Rome, GA

Active since August 01, 2024
224 LAVENDER TRL NW, ROME, GA 30165(770) 296-4555 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Bison Ridge Recovery Lodge, Llc NPPES

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

BISON RIDGE RECOVERY LODGE, LLC (NPI 1033948559), doing business as Bison Ridge Recovery Lodge, is a healthcare organization registered as a rehabilitation, substance use disorder in Rome, Georgia and active in the NPI registry since August 2024. The organization lists Charlie Campbell, President, as its authorized official.

NPPES Registry Identity

NPI1033948559
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBISON RIDGE RECOVERY LODGE, LLC
Location Address224 LAVENDER TRL NWRome, GA 30165-7896
Mailing Address4451 Alabama Hwy NwRome, GA 30165-9200 · (770) 296-4555 · Fax (706) 739-7276
Organization SubpartNo
Authorized OfficialCharlie CampbellPresident · (904) 302-3202
Enumeration DateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1033948559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
224 LAVENDER TRL NW, Rome, GA 30165

Other Names 1

Doing Business AsBison Ridge Recovery Lodge

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 Bison Ridge Recovery Lodge, LLC's NPI number?

The NPI number for Bison Ridge Recovery Lodge, LLC is 1033948559. It was assigned to this organization in the NPPES registry on August 1, 2024. The provider is doing business as Bison Ridge Recovery Lodge.

Where is Bison Ridge Recovery Lodge, LLC located?

Bison Ridge Recovery Lodge, LLC is located at 224 Lavender Trl NW, Rome, GA 30165. The listed phone number is (770) 296-4555.

What is Bison Ridge Recovery Lodge, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Bison Ridge Recovery Lodge, LLC was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.