THE RECOVERY VILLAGE
NPI 1265856017
Substance Abuse Rehabilitation Facility in Umatilla, FL

Active since February 14, 2014CLIA 50D2143590 · Waiver
633 UMATILLA BLVD., THE RECOVERY VILLAGE, UMATILLA, FL 32784(352) 669-8000 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Recovery Village NPPES

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

THE RECOVERY VILLAGE (NPI 1265856017) is a healthcare organization registered as a substance abuse rehabilitation facility in Umatilla, Florida and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Samuel Keith Kelley, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1265856017
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTHE RECOVERY VILLAGE
Location Address633 UMATILLA BLVD., THE RECOVERY VILLAGEUmatilla, FL 32784
Mailing Address100 Se Third Ave, Suite 1102Ft. Lauderdale, FL 33394 · (754) 300-3120
Organization SubpartNo
Authorized OfficialSamuel Keith KelleyChief Medical Officer · (754) 300-3120
Enumeration DateFebruary 14, 2014
Last NPPES UpdateMay 6, 2015
NPI 1265856017 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.
633 UMATILLA BLVD., Umatilla, FL 32784

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 50D2143590

The Recovery Village Ridgefield · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2143590
Laboratory TypeDrug Abuse Detox Facility
Certificate Effective DateFebruary 1, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorHilary Paulsen
Laboratory Phone(754) 300-3120
Laboratory LocationThe Recovery Village Ridgefield5114 NE 94th Ave, Vancouver, WA 98662
CLIA data matches this NPI record on: Name Phone
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 The Recovery Village's NPI number?

The NPI number for The Recovery Village is 1265856017. It was assigned to this organization in the NPPES registry on February 14, 2014.

Where is The Recovery Village located?

The Recovery Village is located at 633 Umatilla Blvd. The Recovery Village, Umatilla, FL 32784. The listed phone number is (352) 669-8000.

What is The Recovery Village's specialty?

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

Does The Recovery Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2143590) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Recovery Village accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list The Recovery Village 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 The Recovery Village was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.