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CARDINAL RECOVERY LLC
NPI 1710632724
Substance Abuse Rehabilitation Facility in South Bend, IN

Active since February 17, 2022CLIA 15D2275405 · Waiver
3606 E JEFFERSON BLVD, SOUTH BEND, IN 46615(657) 304-0103 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2025, Dec 19, 2024, Oct 16, 2023 and 1 more (4 updates tracked since 2022).

About Cardinal Recovery Llc NPPES

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

CARDINAL RECOVERY LLC (NPI 1710632724) is a healthcare organization registered as a substance abuse rehabilitation facility in South Bend, Indiana and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Adam Bhaijee, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1710632724
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCARDINAL RECOVERY LLC
Location Address3606 E JEFFERSON BLVDSouth Bend, IN 46615-3052
Mailing Address3606 E Jefferson BlvdSouth Bend, IN 46615-3052 · (262) 490-7933
Phone(657) 304-0103
Organization SubpartNo
Authorized OfficialAdam BhaijeeChief Financial Officer · (917) 494-5753
Enumeration DateFebruary 17, 2022
Last NPPES UpdateMay 7, 20254 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1710632724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.

Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
3606 E JEFFERSON BLVD, South Bend, IN 46615
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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 15D2275405

Cardinal Recovery LLC · South Bend, IN
Active · expires Jan 19, 2027
CLIA Number15D2275405
Laboratory TypeSubstance Use Treatment F
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorShelby Macleod
Laboratory Phone(574) 544-0304
Laboratory LocationCardinal Recovery LLC3606 E Jefferson Blvd, South Bend, IN 46615
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ORANGE COUNTY PSYCHIATRY AND ADDICTION MEDICINE
Psychiatry & Neurology (Psychiatry)
3606 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (949) 515-7300
NICOLE ROSS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3606 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (463) 724-3416
RACHAEL ELIZABETH AMOR MASTERS IN SOCIAL WO
Counselor (Addiction (Substance Use Disorder))
3606 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (866) 486-9769
CHOICES RECOVERY
Substance Abuse Rehabilitation Facility
3606 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 217-7769

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 Cardinal Recovery LLC's NPI number?

The NPI number for Cardinal Recovery LLC is 1710632724. It was assigned to this organization in the NPPES registry on February 17, 2022.

Where is Cardinal Recovery LLC located?

Cardinal Recovery LLC is located at 3606 E Jefferson Blvd, South Bend, IN 46615. The listed phone number is (657) 304-0103.

What is Cardinal Recovery LLC's specialty?

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

Does Cardinal Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2275405) is associated with this NPI, valid through January 19, 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 Cardinal Recovery LLC was last updated on May 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.