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CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT
NPI 1770966491
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Sioux City, IA

Active since June 30, 2015CLIA 16D2110480 · Waiver
3500 WEST 4TH STREET, SIOUX CITY, IA 51103(712) 266-1800 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Child And Adolescent Recovery Hospital Crisis And Stabilization Unit NPPES

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

CHILD AND ADOLESCENT RECOVERY HOSPITAL CRISIS AND STABILIZATION UNIT (NPI 1770966491) is a healthcare organization registered as a substance abuse treatment, children in Sioux City, Iowa and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Kermit Dahlen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770966491
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameJACKSON RECOVERY CENTERS, INC.
Location Address3500 WEST 4TH STREETSioux City, IA 51103
Mailing Address800 5th StSioux City, IA 51101-1317 · (712) 234-2300 · Fax (712) 234-2398
Phone(712) 266-1800
Organization SubpartNo
Authorized OfficialKermit DahlenCeo · (712) 234-2300
Enumeration DateJune 30, 2015
✔ NPI 1770966491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
3500 WEST 4TH STREET, Sioux City, IA 51103
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Other Names 1

Doing Business AsChild And Adolescent Recovery Hospital Crisis And Stabilization Unit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 16D2110480

Jackson Recovery Centers-River Hills · Sioux City, IA
Active · expires Mar 14, 2028
CLIA Number16D2110480
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorRachel Wurth
Laboratory Phone(712) 202-0777
Laboratory LocationJackson Recovery Centers-River Hills3320 West 4th Street, Sioux City, IA 51103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2151145

Jackson Recovery Centers- Cynthia House · Sioux City, IA
Expired · Jul 12, 2026
CLIA Number16D2151145
Laboratory TypeSubstance Abuse Treat Cen
Certificate Effective DateJuly 13, 2024
Certificate Expiration DateJuly 12, 2026
Laboratory DirectorRachel Wurth
Laboratory Phone(712) 258-5424
Laboratory LocationJackson Recovery Centers- Cynthia House1419 Casselman Street, Sioux City, IA 51103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Jackson Recovery Centers, Inc.'s NPI number?

The NPI number for Jackson Recovery Centers, Inc. is 1770966491. It was assigned to this organization in the NPPES registry on June 30, 2015. The provider is doing business as Child And Adolescent Recovery Hospital Crisis And Stabilization Unit.

Where is Jackson Recovery Centers, Inc. located?

Jackson Recovery Centers, Inc. is located at 3500 West 4th Street, Sioux City, IA 51103. The listed phone number is (712) 266-1800.

What is Jackson Recovery Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Jackson Recovery Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2110480) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Recovery Centers, Inc. accept?

Health plans from Medica list Jackson Recovery Centers, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Recovery Centers, Inc. was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.