OrganizationActive
Lifespring Recovery of Andover, LLC
NPI 1639020811 · Substance Abuse Rehabilitation Facility · Andover, KS
Provider details
- NPI number
- 1639020811
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Peter Jesh, Manager(612) 369-2094
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
224 E Central Ave
Andover, KS 67002-8580
Phone: (612) 369-2094
Street-level locationGet directions
Mailing address
1010 W Saint Germain St Ste 750
Saint Cloud, MN 56301-3432
Registry dates
- Enumerated
- 2026-02-04
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.