OrganizationActive
Jessica Lane Re, LLC
NPI 1760197644 · Substance Abuse Rehabilitation Facility · Raytown, MO
Provider details
- NPI number
- 1760197644
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Belina Surujon, Contracting & Licensing Director(305) 785-5520
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Ambulatory Health Care Facilities
Practice location
11901 Jessica Ln
Raytown, MO 64138-2639
Phone: (754) 300-3120
Fax: (888) 919-4431
Approximate (ZIP-level) locationGet directions
Mailing address
2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Other names (DBA / former)
- Doing business as
- The Recovery Village Kansas City
- Doing business as
- The Recovery Village Kansas City
Additional practice locations (1)
- 305 Nw Englewood Ct Ste 300Gladstone, MO 64118-4000Phone: (305) 785-5520Fax: (888) 919-4431
Registry dates
- Enumerated
- 2023-01-16
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.