Wabash Recovery

LBN: Hope Recovery Kokomo, Llc
Wabash Recovery is an health care organization with primary practice located at 1236 N. Wabash Ave , Kokomo IN 46901. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Hope Recovery Kokomo, Llc can be contacted via phone (310) 741-7199, or through Christenson, David via phone (317) 437-7040.

Contact Information

Primary practice address
1236 N. Wabash Ave Kokomo IN 46901
Phone: (310) 741-7199
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Christenson, David
Phone: (317) 437-7040

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1710587910
LBN Legal business name Hope Recovery Kokomo, Llc
DBA Doing business as Wabash Recovery
Authorized official Christenson, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2020
Last updated Nov 16th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710587910 NPPES
Indiana MEDICAID 300057826

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