Restore Incorporated

LBN: Restore Incorporated
Restore Incorporated is an health care organization with primary practice located at 1096 Tena Ave , Fairbanks AK 99701-1422. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Restore Incorporated can be contacted via phone (907) 374-1097, or through Thomas, Timothy M via phone (907) 374-1097.

Contact Information

Primary practice address
1096 Tena Ave Fairbanks AK 99701-1422
Phone: (907) 374-1097
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Timothy M CDC1
Phone: (907) 374-1097

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1295329803
LBN Legal business name Restore Incorporated
DBA Doing business as
Authorized official Thomas, Timothy M CDC1
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2021
Last updated Aug 24th, 2021 - 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 1295329803 NPPES
Alaska MEDICAID 1716655

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