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COMMUNITY ADDICTION RECOVERY LLC
NPI 1356022693
Preventive Medicine - Addiction Medicine in Stanton, KY

Active since July 28, 2023CLIA 18D2287868 · Waiver
436 SOUTH MAIN ST, STANTON, KY 40380(606) 663-7597(606) 663-7652 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2023, Jul 28, 2023 (2 updates tracked since 2023).

About Community Addiction Recovery Llc NPPES

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

COMMUNITY ADDICTION RECOVERY LLC (NPI 1356022693) is a healthcare organization registered as an addiction medicine in Stanton, Kentucky and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Taufik Kassis, Owner, as its authorized official.

NPPES Registry Identity

NPI1356022693
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameCOMMUNITY ADDICTION RECOVERY LLC
Location Address436 SOUTH MAIN STStanton, KY 40380-2189
Mailing AddressPo Box 1029Stanton, KY 40380-1029 · (606) 663-7597 · Fax (606) 663-7652
Phone(606) 663-7597
Fax(606) 663-7652
Organization SubpartNo
Authorized OfficialTaufik KassisOwner · (606) 663-7597
Enumeration DateJuly 28, 2023
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1356022693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
436 SOUTH MAIN ST, Stanton, KY 40380
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 18D2287868

Community Addiction Recovery · Stanton, KY
Active · expires Aug 17, 2027
CLIA Number18D2287868
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorDr. Taufik Kassis
Laboratory Phone(606) 663-7597
Laboratory LocationCommunity Addiction Recovery436 South Main Street, Stanton, KY 40380
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ROSEMARY STUEHLER CAPO OT
Occupational Therapist
436 SOUTH MAIN ST
STANTON, KY 40380
Powell County (606) 663-8244
TIMOTHY OWEN MARCUM OT
Occupational Therapist
436 SOUTH MAIN ST
STANTON, KY 40380
Powell County (606) 663-8244
JENNIFER MARIE REYNOLDS OT
Occupational Therapist
436 SOUTH MAIN ST
STANTON, KY 40380
Powell County (606) 663-8244

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 Community Addiction Recovery LLC's NPI number?

The NPI number for Community Addiction Recovery LLC is 1356022693. It was assigned to this organization in the NPPES registry on July 28, 2023.

Where is Community Addiction Recovery LLC located?

Community Addiction Recovery LLC is located at 436 South Main St, Stanton, KY 40380. The listed phone number is (606) 663-7597.

What is Community Addiction Recovery LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Does Community Addiction Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2287868) is associated with this NPI, valid through August 17, 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 Community Addiction Recovery LLC was last updated on August 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.