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RESTORE LLC
NPI 1609593821
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Fairbanks, AK

Active since October 27, 2022
513 12TH AVE, FAIRBANKS, AK 99701(907) 374-1097 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Oct 7, 2024, Oct 27, 2022 (3 updates tracked since 2022).

About Restore Llc NPPES

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

RESTORE LLC (NPI 1609593821) is a healthcare organization registered as a substance abuse treatment, children in Fairbanks, Alaska and active in the NPI registry since October 2022. The organization lists Timothy M Thomas, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1609593821
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameRESTORE LLC
Location Address513 12TH AVEFairbanks, AK 99701-4910
Mailing AddressPo Box 73004Fairbanks, AK 99707-3004 · (907) 374-1097
Phone(907) 374-1097
Organization SubpartNo
Authorized OfficialTimothy M ThomasChief Operations Officer · (907) 374-1097
Enumeration DateOctober 27, 2022
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1609593821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
513 12TH AVE, Fairbanks, AK 99701
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Other Names 1

Other NameR.e.a.c.h.

Other Identifiers 1

Medicaid1750321AK

Other Providers at the Same Location NPPES 12

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

RITA DAVIS
Community Health Worker
513 12TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4610
ALASYA COOPER
Community Health Worker
513 12TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4610
FELICITY LEE SANKOH
Community Health Worker
513 12TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4610
NOELLE CARGILL
Community Health Worker
513 12TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4610
ALEASYA COOPER
Community Health Worker
513 12TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4610
NORTHERN HOPE CENTER
Community/Behavioral Health
513 12TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4610
CAROLYN KAMAU
Community Health Worker
513 12TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4610
JOSUHAN SURIEL
Community Health Worker
513 12TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4610

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 1609593821. It was assigned to this organization in the NPPES registry on October 27, 2022. The provider is also known as R.E.A.C.H..

Where is Restore LLC located?

Restore LLC is located at 513 12th 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, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Restore LLC was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.