SANA LAKE RECOVERY CENTER, LLC
NPI 1417531187
Substance Abuse Rehabilitation Facility in Dittmer, MO
About Sana Lake Recovery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANA LAKE RECOVERY CENTER, LLC (NPI 1417531187) is a healthcare organization registered as a substance abuse rehabilitation facility in Dittmer, Missouri and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Ashley Murry, Chief Clinical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 26D2168868
Sana Lake Recovery Center, LLC · Dittmer, MOFrequently 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 Sana Lake Recovery Center, LLC's NPI number?
The NPI number for Sana Lake Recovery Center, LLC is 1417531187. It was assigned to this organization in the NPPES registry on May 10, 2021.
Where is Sana Lake Recovery Center, LLC located?
Sana Lake Recovery Center, LLC is located at 100 Sana Lake Recovery Way, Dittmer, MO 63023. The listed phone number is (636) 944-4400.
What is Sana Lake Recovery Center, LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Sana Lake Recovery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2168868) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sana Lake Recovery Center, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Sana Lake Recovery Center, 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 Sana Lake Recovery Center, LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Sana Lake Recovery Center, Llc · NPI 1417531187
Substance Abuse Rehabilitation Facility organization in Dittmer, Missouri. Organization record, active in the CMS NPPES registry since May 10, 2021.
## Identity
- **NPI:** 1417531187 (Entity type: Organization)
- **Enumerated:** May 10, 2021
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Ashley Murry, CHIEF CLINICAL OFFICER
## Practice location
- **Address:** 100 SANA LAKE RECOVERY WAY, Dittmer, MO 63023-1104
- **Phone:** (636) 944-4400
## Record status
- **NPPES last updated:** May 20, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417531187) · Data from the CMS NPPES public registry.