KINCASA RECOVERY CENTERS LLC – NPI #1932093523
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.

KINCASA RECOVERY CENTERS LLC is a substance abuse rehabilitation facility located in NORTHBOROUGH, MA. NPPES has assigned the NPI number 1932093523 to KINCASA RECOVERY CENTERS LLC on June 06, 2025. 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 Nov 04, 2025. 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 KINCASA RECOVERY CENTERS LLC below.

NPI Profile for
KINCASA RECOVERY CENTERS LLC

NPI Number
1932093523
Enumeration Date

(about 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
KINCASA RECOVERY CENTERS LLC
Primary location
144 W MAIN ST
NORTHBOROUGH, MA 01532-1802
Phone: (603) 440-8618 Fax:
1 Other location(s):
118 Turnpike Rd Ste 200
Southborough, MA 01772-2156
Phone: (603) 440-8618
Mailing address
118 TURNPIKE RD STE 200
SOUTHBOROUGH, MA 01772-2156
Phone: (603) 440-8618 Fax: (323) 546-2022
Organization Subpart
No
Authorized Official
DENNIS THERIAULT
CEO
Phone: (603) 440-8618
Updated
Certification Date
Nov 04, 2025

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.