RESTORE LLC
NPI 1295329803
Substance Abuse Rehabilitation Facility in Fairbanks, AK

Active since February 24, 2021
1096 TENA AVE, FAIRBANKS, AK 99701(907) 374-1097 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2024, Aug 24, 2021, Apr 5, 2021 and 1 more (4 updates tracked since 2021).

About Restore Llc NPPES

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

RESTORE LLC (NPI 1295329803) is a healthcare organization registered as a substance abuse rehabilitation facility in Fairbanks, Alaska and active in the NPI registry since February 2021. The organization lists Timothy M Thomas, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1295329803
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRESTORE LLC
Location Address1096 TENA AVEFairbanks, AK 99701-1422
Mailing AddressPo Box 73004Fairbanks, AK 99707-3004
Organization SubpartNo
Authorized OfficialTimothy M ThomasChief Operations Officer · (907) 374-1097
Enumeration DateFebruary 24, 2021
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
NPI 1295329803 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.

1096 TENA AVE, Fairbanks, AK 99701

Other Identifiers 1

Medicaid1716655AK

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 (Mental Health)
1096 TENA AVE
FAIRBANKS, AK 99701

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 1295329803. It was assigned to this organization in the NPPES registry on February 24, 2021.

Where is Restore LLC located?

Restore LLC is located at 1096 Tena Ave, 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 Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Restore LLC was last updated on October 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.