PAUL K REED RECOVERY CENTER
NPI 1760220016
Substance Abuse Rehabilitation Facility in Alamosa, CO

Active since July 19, 2024CLIA 06D2308690 · Waiver
1317 17TH ST, ALAMOSA, CO 81101(720) 955-1880 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 06D2308690
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 07-31-2026

About PAUL K REED RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Paul K Reed Recovery Center, a provider established in Alamosa, Colorado operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1760220016 assigned on July 2024. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Justin Luke Riley (Ceo)

NPI
1760220016 Verify this NPI
Provider Name
PAUL K REED RECOVERY CENTER
Entity Type
Organization
Location Address
1317 17TH ST ALAMOSA, CO 81101
Location Phone
(720) 955-1880
Mailing Address
PO BOX 5334 GREENWOOD VLG, CO 80155
Mailing Phone
(720) 955-1880
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2024
Last Update Date
07-19-2024
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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.

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

JUSTIN LUKE RILEY

Authorized Official Title
CEO
Authorized Official Phone
(720) 955-1880

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2308690
Facility Type
Independent
Certificate Effective Date
August 01, 2024
Certificate Expiration Date
July 31, 2026
Laboratory Director
JAMES E. WALKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Paul K Reed Recovery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Residential Treatment Facility, Emotionally Disturbed Children
1317 17TH ST
ALAMOSA, CO 81101
Substance Abuse Rehabilitation Facility
1317 17TH ST
ALAMOSA, CO 81101
Substance Abuse Rehabilitation Facility
1317 17TH ST
ALAMOSA, CO 81101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760220016, enumerated as an "organization" on July 19, 2024.

The provider is located at 1317 17TH ST ALAMOSA, CO 81101 and the phone number is (720) 955-1880.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.