JESSICA LANE RE, LLC
NPI 1760197644
Substance Abuse Rehabilitation Facility in Raytown, MO

NPI Status: Active since January 16, 2023

Contact Information

11901 JESSICA LN
RAYTOWN, MO
ZIP 64138
Phone: (754) 300-3120
Fax: (888) 919-4431

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance

About JESSICA LANE RE, LLC

This page provides the complete NPI Profile along with additional information for Jessica Lane Re, Llc, a provider established in Raytown, Missouri operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1760197644 assigned on January 2023. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated May 2026. The provider's . The authorized official of this NPI record is Belina Surujon (Contracting & Licensing Director)

NPI
1760197644
Provider Legal Name
JESSICA LANE RE, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
11901 JESSICA LN RAYTOWN, MO 64138
Location Phone
(754) 300-3120
Location Fax
(888) 919-4431
Mailing Address
2200 N COMMERCE PKWY STE 200 WESTON, FL 33326
Mailing Phone
(305) 785-5520
Mailing Fax
(888) 919-4431
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2023
Last Update Date
05-11-2026
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Location Map

Secondary Locations

  • 305 NW Englewood Ct Ste 300
    Gladstone, MO 64118
    (305) 785-5520

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2323P00000XResidential Treatment Facilities

Psychiatric Residential Treatment Facility

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Standard - EPO
  • Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Bronze Premier - EPO
  • Medica with MU Health Care Expanded Bronze Standard - EPO
  • Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Gold Share - EPO
  • Medica with MU Health Care Gold Standard - EPO
  • Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Silver Share - EPO
  • Medica with MU Health Care Silver Standard - EPO
  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BELINA SURUJON

Authorized Official Title
CONTRACTING & LICENSING DIRECTOR
Authorized Official Phone
(305) 785-5520

Reviews for JESSICA LANE RE, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760197644, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 2 + 9 + 1 + 4 + 6 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760197644.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Skilled Nursing Facility
11901 JESSICA LN
RAYTOWN, MO 64138
Social Worker (Clinical)
11901 JESSICA LN
RAYTOWN, MO 64138
Counselor (Mental Health)
11901 JESSICA LN
RAYTOWN, MO 64138
Counselor (Professional)
11901 JESSICA LN
RAYTOWN, MO 64138
Social Worker (Clinical)
11901 JESSICA LN
RAYTOWN, MO 64138
Social Worker (Clinical)
11901 JESSICA LN
RAYTOWN, MO 64138
Nurse Practitioner (Psychiatric/Mental Health)
11901 JESSICA LN
RAYTOWN, MO 64138
Counselor (Professional)
11901 JESSICA LN
RAYTOWN, MO 64138
Physician Assistant (Medical)
11901 JESSICA LN
RAYTOWN, MO 64138
Nurse Practitioner (Family)
11901 JESSICA LN
RAYTOWN, MO 64138

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760197644, enumerated as an "organization" on January 16, 2023.

The provider is located at 11901 JESSICA LN RAYTOWN, MO 64138 and the phone number is (754) 300-3120.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Medica. Please consult your insurance carrier or call the provider to verify.