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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RECOVERY VILLAGE AT PALMER LAKE, LLC
NPI 1104742469
Community Based Residential Treatment Facility, Mental Illness in Colorado Springs, CO

Active since June 29, 2026CLIA Certified · 2 labs
6189 LEHMAN DR STE 102, COLORADO SPRINGS, CO 80918(754) 300-3120(888) 919-4431 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Recovery Village At Palmer Lake, Llc NPPES

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

RECOVERY VILLAGE AT PALMER LAKE, LLC (NPI 1104742469), doing business as The Recovery Village Colorado Springs Outpatient Center, is a healthcare organization registered as a community based residential treatment facility, mental illness in Colorado Springs, Colorado and active in the NPI registry since June 2026. The organization holds 2 active CLIA laboratory certificates and lists Belina Surujon, Vp Contracting & Licensing, as its authorized official.

NPPES Registry Identity

NPI1104742469
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameRECOVERY VILLAGE AT PALMER LAKE, LLC
Location Address6189 LEHMAN DR STE 102Colorado Springs, CO 80918-5409
Mailing Address2200 N Commerce Pkwy Ste 200Weston, FL 33326-3258 · (754) 300-3120 · Fax (888) 919-4431
Phone(754) 300-3120
Fax(888) 919-4431
Organization SubpartNo
Authorized OfficialBelina SurujonVp Contracting & Licensing · (754) 300-3120
Enumeration DateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1104742469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
6189 LEHMAN DR STE 102, Colorado Springs, CO 80918
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Other Names 1

Doing Business AsThe Recovery Village Colorado Springs Outpatient Center

CLIA Laboratory Certificates CMS CLIA 2

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 06D2344944

Recovery Village At Palmer Lake LLC · Colorado Springs, CO
Active · expires Jun 1, 2028
CLIA Number06D2344944
Laboratory TypeOutpatient Sud
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorNeil Wilkey
Laboratory Phone(754) 300-3120
Laboratory LocationRecovery Village At Palmer Lake LLC6189 Lehman Drive Suite 102, Colorado Springs, CO 80918
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2253171

Recovery Village At Palmer Lake, LLC · Highlands Ranch, CO
Active · expires Feb 16, 2028
CLIA Number06D2253171
Laboratory TypeSud Outpatient Facility
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDr. Neil Wilkey
Laboratory Phone(754) 300-3120
Laboratory LocationRecovery Village At Palmer Lake, LLC630 Plaza Drive, Unit 101, Highlands Ranch, CO 80129
CLIA data matches this NPI record on: Name Phone
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.

RECOVERY VILLAGE AT PALMER LAKE, LLC
Substance Abuse Rehabilitation Facility
6189 LEHMAN DR STE 102
COLORADO SPRINGS, CO 80918
El Paso County (754) 300-3120

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 Recovery Village At Palmer Lake, LLC's NPI number?

The NPI number for Recovery Village At Palmer Lake, LLC is 1104742469. It was assigned to this organization in the NPPES registry on June 29, 2026. The provider is doing business as The Recovery Village Colorado Springs Outpatient Center.

Where is Recovery Village At Palmer Lake, LLC located?

Recovery Village At Palmer Lake, LLC is located at 6189 Lehman Dr Ste 102, Colorado Springs, CO 80918. The listed phone number is (754) 300-3120.

What is Recovery Village At Palmer Lake, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Recovery Village At Palmer Lake, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Recovery Village At Palmer Lake, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.