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

Q: What is Jessica Lane Re, LLC's NPI number?

The NPI number for Jessica Lane Re, LLC is 1760197644. It was assigned to this organization in the NPPES registry on January 16, 2023. The provider is doing business as The Recovery Village Kansas City.

Q: What is Jessica Lane Re, LLC's specialty?

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

Active since January 16, 2023

11901 JESSICA LN, RAYTOWN, MO 64138(754) 300-3120(888) 919-4431 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Aug 14, 2025, Aug 9, 2024 and 2 more (5 updates tracked since 2023).

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About Jessica Lane Re, Llc NPPES

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

JESSICA LANE RE, LLC (NPI 1760197644), doing business as The Recovery Village Kansas City, is a healthcare organization registered as a substance abuse rehabilitation facility in Raytown, Missouri and active in the NPI registry since January 2023. The organization maintains a secondary practice location in Gladstone and lists Belina Surujon, Contracting & Licensing Director, as its authorized official.

NPPES Registry Identity

NPI1760197644

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameJESSICA LANE RE, LLC

Location Address11901 JESSICA LNRaytown, MO 64138-2639

Mailing Address2200 N Commerce Pkwy Ste 200Weston, FL 33326-3258 · (305) 785-5520 · Fax (888) 919-4431

Phone(754) 300-3120

Fax(888) 919-4431

Organization SubpartNo

Authorized OfficialBelina SurujonContracting & Licensing Director · (305) 785-5520

Enumeration DateJanuary 16, 2023

Last NPPES UpdateMay 11, 20265 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1760197644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X

11901 JESSICA LN, Raytown, MO 64138

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Other Names 1

Doing Business AsThe Recovery Village Kansas City

Secondary Practice Location 1

Location 1305 NW Englewood Ct Ste 300Gladstone, MO 64118-4000 · Phone (305) 785-5520 · Fax (888) 919-4431

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Other Providers at the Same Location NPPES 10

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

MRS. TINA MARIE NOONE APRN

Nurse Practitioner (Psychiatric/Mental Health)