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EAGLE LAKE RECOVERY LLC
NPI 1093699936
Substance Abuse Rehabilitation Facility in Choudrant, LA

Active since August 04, 2025CLIA 19D2332887 · Waiver
135 HIGHWAY 556, CHOUDRANT, LA 71227(318) 237-0252 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Lake Recovery Llc NPPES

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

EAGLE LAKE RECOVERY LLC (NPI 1093699936) is a healthcare organization registered as a substance abuse rehabilitation facility in Choudrant, Louisiana and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Joseph Andrew Miller, Hr & Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1093699936
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEAGLE LAKE RECOVERY LLC
Location Address135 HIGHWAY 556Choudrant, LA 71227-2300
Mailing Address300 Washington St Ste 212Monroe, LA 71201-6762 · (318) 237-0252
Phone(318) 237-0252
Organization SubpartNo
Authorized OfficialJoseph Andrew MillerHr & Compliance Officer · (318) 237-0252
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1093699936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
135 HIGHWAY 556, Choudrant, LA 71227
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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 19D2332887

Eagle Lake Recovery · Choudrant, LA
Active · expires Oct 26, 2027
CLIA Number19D2332887
Laboratory TypeResidential Substance Abu
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorAaron Michael
Laboratory Phone(318) 436-2672
Laboratory LocationEagle Lake Recovery135 Highway 556, Choudrant, LA 71227
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

AARON BEESON MICHAEL LPC
Counselor (Mental Health)
135 HIGHWAY 556
CHOUDRANT, LA 71227
Lincoln Parish (318) 372-2502

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 Eagle Lake Recovery LLC's NPI number?

The NPI number for Eagle Lake Recovery LLC is 1093699936. It was assigned to this organization in the NPPES registry on August 4, 2025.

Where is Eagle Lake Recovery LLC located?

Eagle Lake Recovery LLC is located at 135 Highway 556, Choudrant, LA 71227. The listed phone number is (318) 237-0252.

What is Eagle Lake Recovery LLC's specialty?

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

Does Eagle Lake Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2332887) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eagle Lake Recovery LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.