MADISON RECOVERY CENTER
NPI 1184402968
Substance Abuse Rehabilitation Facility in Madison, WI

Active since September 21, 2023CLIA 52D2335220 · Waiver
301 SOUTH LIVINGSTON ST STE 200, MADISON, WI 53703(608) 438-3131 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Recovery Center NPPES

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

MADISON RECOVERY CENTER (NPI 1184402968) is a healthcare organization registered as a substance abuse rehabilitation facility in Madison, Wisconsin and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Jack Mckenzie, Partner, as its authorized official.

NPPES Registry Identity

NPI1184402968
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameJJD MADISON HOLDINGS
Location Address301 SOUTH LIVINGSTON ST STE 200Madison, WI 53703-5401
Mailing Address301 South Livingston St Ste 200Madison, WI 53703-5401
Organization SubpartNo
Authorized OfficialJack MckenziePartner · (608) 438-3131
Enumeration DateSeptember 21, 2023
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
NPI 1184402968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
301 SOUTH LIVINGSTON ST STE 200, Madison, WI 53703

Other Names 1

Doing Business AsMadison Recovery Center

Other Identifiers 1

Other3517WI · Department Of Health Services

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 52D2335220

Madison Recovery Center · Madison, WI
Active · expires Dec 7, 2027
CLIA Number52D2335220
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorBrian S. Covey
Laboratory Phone(773) 301-8398
Laboratory LocationMadison Recovery Center301 S Livingston St, Suite 200, Madison, WI 53703
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Jjd Madison Holdings's NPI number?

The NPI number for Jjd Madison Holdings is 1184402968. It was assigned to this organization in the NPPES registry on September 21, 2023. The provider is doing business as Madison Recovery Center.

Where is Jjd Madison Holdings located?

Jjd Madison Holdings is located at 301 South Livingston St Ste 200, Madison, WI 53703. The listed phone number is (608) 438-3131.

What is Jjd Madison Holdings's specialty?

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

Does Jjd Madison Holdings hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2335220) is associated with this NPI, valid through December 7, 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 Jjd Madison Holdings was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.