EXTRA MILE RECOVERY, LLC
NPI 1164948196
Substance Abuse Rehabilitation Facility in Mantachie, MS

Active since August 22, 2017CLIA 25D2134863 · Waiver
720 OAK GROVE RD, MANTACHIE, MS 38855(662) 246-2946 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Aug 22, 2017 (2 updates tracked since 2017).

About Extra Mile Recovery, Llc NPPES

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

EXTRA MILE RECOVERY, LLC (NPI 1164948196) is a healthcare organization registered as a substance abuse rehabilitation facility in Mantachie, Mississippi and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Scott Smith, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1164948196
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEXTRA MILE RECOVERY, LLC
Location Address720 OAK GROVE RDMantachie, MS 38855
Mailing Address720 Oak Grove RdMantachie, MS 38855 · (662) 246-2946
Organization SubpartNo
Authorized OfficialScott SmithOwner/operator · (901) 626-4454
Enumeration DateAugust 22, 2017
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPI 1164948196 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.
720 OAK GROVE RD, Mantachie, MS 38855

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 25D2134863

Extra Mile Recovery Center · Mantachie, MS
Active · expires Aug 9, 2027
CLIA Number25D2134863
Laboratory TypeA & D Treatment
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorKayla Caldwell
Laboratory Phone(662) 810-4146
Laboratory LocationExtra Mile Recovery Center720 Oak Grove Road #5, Mantachie, MS 38855
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.

Counselor
720 OAK GROVE RD
MANTACHIE, MS 38855

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 Extra Mile Recovery, LLC's NPI number?

The NPI number for Extra Mile Recovery, LLC is 1164948196. It was assigned to this organization in the NPPES registry on August 22, 2017.

Where is Extra Mile Recovery, LLC located?

Extra Mile Recovery, LLC is located at 720 Oak Grove Rd, Mantachie, MS 38855. The listed phone number is (662) 246-2946.

What is Extra Mile Recovery, LLC's specialty?

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

Does Extra Mile Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2134863) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Extra Mile Recovery, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Extra Mile Recovery, 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 Extra Mile Recovery, LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.