RECOVERY VILLAGE AT PALMER LAKE, LLC – NPI #1356738132
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

RECOVERY VILLAGE AT PALMER LAKE, LLC is a substance abuse rehabilitation facility located in PALMER LAKE, CO. NPPES has assigned the NPI number 1356738132 to RECOVERY VILLAGE AT PALMER LAKE, LLC on April 20, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 RECOVERY VILLAGE AT PALMER LAKE, LLC below.

NPI Profile for
RECOVERY VILLAGE AT PALMER LAKE, LLC

NPI Number
1356738132
Enumeration Date

(more than 11 years 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
RECOVERY VILLAGE AT PALMER LAKE, LLC
Primary location
443 HIGHWAY 105
PALMER LAKE, CO 80133-9003
Phone: (719) 481-1800 Fax:
Mailing address
2200 N COMMERCE PKWY STE 200
WESTON, FL 33326-3258
Phone: (754) 300-3120 Fax: (888) 919-4431
Organization Subpart
No
Authorized Official
BELINA SURUJON
LICENSING & CONTRACTING DIRECTOR
Phone: (754) 300-3120
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.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

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.