ELLISON COMMUNITY RECOVERY CENTER
NPI 1710338496
Substance Abuse Rehabilitation Facility in Orange Park, FL

Q: What is Ellison Community Recovery Center's NPI number?

The NPI number for Ellison Community Recovery Center is 1710338496. It was assigned to this organization in the NPPES registry on June 23, 2016.

Q: What is Ellison Community Recovery Center's specialty?

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

Active since June 23, 2016

4688 CAMP CREEK LN, ORANGE PARK, FL 32065(904) 572-5294 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ellison Community Recovery Center NPPES

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

ELLISON COMMUNITY RECOVERY CENTER (NPI 1710338496) is a healthcare organization registered as a substance abuse rehabilitation facility in Orange Park, Florida and active in the NPI registry since June 2016. The organization lists Tekesha A Ellison, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710338496

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameELLISON COMMUNITY RECOVERY CENTER

Location Address4688 CAMP CREEK LNOrange Park, FL 32065-2666

Mailing Address4688 Camp Creek LnOrange Park, FL 32065-2666 · (904) 572-5294

Phone(904) 572-5294

Organization SubpartNo

Authorized OfficialTekesha A EllisonPresident, Ceo · (904) 572-5294

Enumeration DateJune 23, 2016

✔ NPI 1710338496 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.

4688 CAMP CREEK LN, Orange Park, FL 32065

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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 Ellison Community Recovery Center's NPI number?

The NPI number for Ellison Community Recovery Center is 1710338496. It was assigned to this organization in the NPPES registry on June 23, 2016.

Where is Ellison Community Recovery Center located?

Ellison Community Recovery Center is located at 4688 Camp Creek Ln, Orange Park, FL 32065. The listed phone number is (904) 572-5294.

What is Ellison Community Recovery Center'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 Ellison Community Recovery Center was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.