RESTORE LLC
NPI 1881210474
Substance Abuse Rehabilitation Facility in Fairbanks, AK

Q: What is Restore LLC's NPI number?

The NPI number for Restore LLC is 1881210474. It was assigned to this organization in the NPPES registry on June 19, 2020.

Q: What is Restore LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Restore LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since June 19, 2020

1095 TENA AVE, FAIRBANKS, AK 99701(907) 374-1097(907) 374-1062 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2024, Aug 24, 2021, Apr 9, 2021 and 4 more (7 updates tracked since 2020).

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About Restore Llc NPPES

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

RESTORE LLC (NPI 1881210474) is a healthcare organization registered as a substance abuse rehabilitation facility in Fairbanks, Alaska and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Fairbanks and lists Timothy M Thomas, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1881210474

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameRESTORE LLC

Location Address1095 TENA AVEFairbanks, AK 99701-1422

Mailing AddressPo Box 73004Fairbanks, AK 99707-3004 · (907) 374-1097 · Fax (907) 374-1062

Phone(907) 374-1097

Fax(907) 374-1062

Organization SubpartNo

Authorized OfficialTimothy M ThomasChief Operations Officer · (907) 374-1097

Enumeration DateJune 19, 2020

Last NPPES UpdateOctober 7, 20247 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1881210474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1095 TENA AVE, Fairbanks, AK 99701

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Secondary Practice Location 1

Location 1542 4th Ave Ste B-101Fairbanks, AK 99701-4707 · Phone (907) 374-1097 ext. 90775 · Fax (907) 374-1062

Other Identifiers 1

Medicaid1709994AK

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 Restore LLC's NPI number?

The NPI number for Restore LLC is 1881210474. It was assigned to this organization in the NPPES registry on June 19, 2020.

Where is Restore LLC located?

Restore LLC is located at 1095 Tena Ave, Fairbanks, AK 99701. The listed phone number is (907) 374-1097.

What is Restore LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Restore LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.