OrganizationActive
Restore LLC
NPI 1497424949 · Substance Use Disorder Rehabilitation Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1497424949
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Thomas, Chief Operations Officer(907) 374-1097
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
211 Cushman St
Fairbanks, AK 99701-4639
Phone: (907) 374-1097
Street-level locationGet directions
Mailing address
Po Box 73004
Fairbanks, AK 99707-3004
Other names (DBA / former)
- Doing business as
- Refine Detoxification and Recovery Center
- Doing business as
- Refine Detoxification and Recovery Center
Registry dates
- Enumerated
- 2021-09-08
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.