JOLIMAR RECOVERY CENTER – NPI #1760610109
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

JOLIMAR RECOVERY CENTER is a substance abuse rehabilitation facility located in SUMMIT, MS. NPPES has assigned the NPI number 1760610109 to JOLIMAR RECOVERY CENTER on June 24, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JOLIMAR RECOVERY CENTER” is a dba name, the actual legal business name for this organization is FRONTLINE RECOVERY, LLC. 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.

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 JOLIMAR RECOVERY CENTER below.

NPI Profile for
FRONTLINE RECOVERY, LLC

NPI Number
1760610109
Enumeration Date

(about 17 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
FRONTLINE RECOVERY, LLC
Doing Business As (dba): JOLIMAR RECOVERY CENTER
Primary location
1038 RIVER RIDGE RD
SUMMIT, MS 39666-9715
Phone: (601) 276-9556 Fax: (601) 276-9578
Mailing address
PO BOX 1176
SUMMIT, MS 39666-1176
Phone: (601) 276-9556 Fax: (601) 276-9578
Organization Subpart
No
Authorized Official
JEFF RAYBORN
PRESIDENT
Phone: (601) 276-9556
Updated
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)		 MS FS36BAEAPR/TR-OP-O1

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.