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RESTORE LLC
NPI 1134588528
Clinic/Center - Rehabilitation, Substance Use Disorder in Fairbanks, AK

Active since February 15, 2016
542 4TH AVE STE B101, FAIRBANKS, AK 99701(907) 374-1097(907) 374-1062 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Aug 24, 2021, Mar 6, 2020 and 2 more (5 updates tracked since 2016).

About Restore Llc NPPES

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

RESTORE LLC (NPI 1134588528) is a healthcare organization registered as a rehabilitation, substance use disorder in Fairbanks, Alaska and active in the NPI registry since February 2016. The organization lists Timothy M Thomas, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1134588528
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameRESTORE LLC
Location Address542 4TH AVE STE B101Fairbanks, AK 99701-4707
Mailing AddressPo Box 73004Fairbanks, AK 99707-3004 · (907) 374-1097 · Fax (907) 374-1062
Phone(907) 374-1097
Fax(907) 374-1062
Organization SubpartNo
Authorized OfficialTimothy M ThomasChief Operations Officer · (907) 374-1097
Enumeration DateFebruary 15, 2016
Last NPPES UpdateOctober 7, 20245 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1134588528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCase ManagementTaxonomy 251B00000X
542 4TH AVE STE B101, Fairbanks, AK 99701
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Other Providers at the Same Location NPPES 20

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

TERRA DUNKLEY
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
JEWEL PRESHAW
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
ALICIA DESMOND
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
MONIQUE LEYVA
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHAWNA R KEITH
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
MELINDA S PRIDE
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
HAILEY JENKINS
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHAUNA MURSCH
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097

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 Restore LLC's NPI number?

The NPI number for Restore LLC is 1134588528. It was assigned to this organization in the NPPES registry on February 15, 2016.

Where is Restore LLC located?

Restore LLC is located at 542 4th Ave Ste B101, Fairbanks, AK 99701. The listed phone number is (907) 374-1097.

What is Restore 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 Restore LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.