Organization
RESTORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY M THOMAS (CHIEF OPERATIONS OFFICER)
(907) 374-1097
Entity
Organization
Contact information
Practice address
1095 TENA AVE, FAIRBANKS, AK 99701-1422
(907) 374-1097
(907) 374-1062
Mailing address
PO BOX 73004, FAIRBANKS, AK 99707-3004
(907) 374-1097
(907) 374-1062
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1709994
—
AK
Enumeration date
06/19/2020
Last updated
10/07/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up