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

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

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 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
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

Other Names 1

Doing Business AsThe Recovery Village Colorado Springs 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.

Substance Abuse Rehabilitation Facility
6189 LEHMAN DR STE 102
COLORADO SPRINGS, CO 80918

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.

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 36 days 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.