INNER VOYAGE RECOVERY CENTER
NPI 1053982827
Clinic/Center - Rehabilitation, Substance Use Disorder in Woodstock, GA

Active since July 02, 2021CLIA 11D2228729 · Waiver
2230 TOWNE LAKE PKWY STE 200, WOODSTOCK, GA 30189(404) 713-4280 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2021, Jul 20, 2021, Jul 2, 2021 (3 updates tracked since 2021).

About Inner Voyage Recovery Center NPPES

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

INNER VOYAGE RECOVERY CENTER (NPI 1053982827) is a healthcare organization registered as a rehabilitation, substance use disorder in Woodstock, Georgia and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Jeff Bennett Baucom, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1053982827
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameAGAPE RECOVERY HOUSE LLC
Location Address2230 TOWNE LAKE PKWY STE 200Woodstock, GA 30189-5540
Mailing Address2230 Towne Lake Pkwy, Bldg 900 Ste 200Woodstock, GA 30189-5546 · (404) 713-4280
Organization SubpartNo
Authorized OfficialJeff Bennett BaucomOwner/operator · (404) 713-4280
Enumeration DateJuly 2, 2021
Last NPPES UpdateAugust 26, 20243 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1053982827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
2230 TOWNE LAKE PKWY STE 200, Woodstock, GA 30189

Other Names 1

Doing Business AsInner Voyage Recovery Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2228729

Agape Recovery House Dba Inner Voyage Recovery Ctr · Woodstock, GA
Active · expires Jun 29, 2027
CLIA Number11D2228729
Laboratory TypeIndependent
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorJames Rogan
Laboratory Phone(404) 713-4280
Laboratory LocationAgape Recovery House Dba Inner Voyage Recovery Ctr2230 Towne Lake Pkwy, Building 900, Suite 200, Woodstock, GA 30189
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
2230 TOWNE LAKE PKWY STE 200
WOODSTOCK, GA 30189
Counselor (Addiction (Substance Use Disorder))
2230 TOWNE LAKE PKWY STE 200
WOODSTOCK, GA 30189

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 Agape Recovery House LLC's NPI number?

The NPI number for Agape Recovery House LLC is 1053982827. It was assigned to this organization in the NPPES registry on July 2, 2021. The provider is doing business as Inner Voyage Recovery Center.

Where is Agape Recovery House LLC located?

Agape Recovery House LLC is located at 2230 Towne Lake Pkwy Ste 200, Woodstock, GA 30189. The listed phone number is (404) 713-4280.

What is Agape Recovery House LLC's specialty?

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

Does Agape Recovery House LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2228729) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Agape Recovery House LLC accept?

Health plans from Alliant Health Plans, Inc. list Agape Recovery House LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agape Recovery House LLC was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.