METANOIA RECOVERY, LLC NPI 1992331821

Substance Abuse Rehabilitation Facility in North Reading, MA

NPI 1992331821 Organization Substance Abuse Rehabilitation Facility

About METANOIA RECOVERY, LLC

Metanoia Recovery, Llc is a provider established in North Reading, Massachusetts specializing in substance abuse rehabilitation facility. The NPI number of Metanoia Recovery, Llc is 1992331821 and was assigned on March 2020. 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 Edward Lepage (Executive Director)

NPI

1992331821

Provider NameMETANOIA RECOVERY, LLC
Provider Location Address55 CONCORD ST NORTH READING, MA 01864
Provider Mailing Address15 WARREN ST STONEHAM, MA 02180
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-23-2020
Last Update Date03-23-2020


Primary Taxonomy

Taxonomy Code324500000X
ClassificationSubstance Abuse Rehabilitation Facility
TypeResidential Treatment Facilities
Taxonomy DescriptionA 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.

Business Address

METANOIA RECOVERY, LLC
55 CONCORD ST
NORTH READING, MA
ZIP 01864
Phone: (774) 479-1151

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Mailing Address

METANOIA RECOVERY, LLC
15 WARREN ST
STONEHAM, MA
ZIP 02180
Phone: (774) 479-1151



Secondary Locations

55 Concord St
North Reading, MA 01864
(774) 479-1151

Authorized Official

Authorized Official Name EDWARD LEPAGE
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(774) 479-1151

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.