JESSICA LANE RE, LLC – NPI #1023820073
Substance Abuse Rehabilitation Facility

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.

JESSICA LANE RE, LLC is a substance abuse rehabilitation facility located in GLADSTONE, MO. NPPES has assigned the NPI number 1023820073 to JESSICA LANE RE, LLC on January 24, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on May 11, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA LANE RE, LLC below.

NPI Profile for
JESSICA LANE RE, LLC

NPI Number
1023820073
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JESSICA LANE RE, LLC
Other name(s)
All associated names:
Doing Business As (dba)
The Recovery Village Kansas City
Doing Business As (dba)
The Recovery Village Kansas City Outpatient Center
Primary location
305 NW ENGLEWOOD CT STE 300
GLADSTONE, MO 64118-4000
Phone: (754) 300-3120 Fax: (888) 919-4431
Mailing address
2200 N COMMERCE PKWY STE 200
WESTON, FL 33326-3258
Phone: (754) 300-3120 Fax:
Organization Subpart
No
Authorized Official
BELINA SURUJON
VP CONTRACTING & LICENSING
Phone: (305) 785-5520
Updated
Certification Date
May 11, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.