Jessica Lane Re, LLC
NPI 1760197644 · Substance Abuse Rehabilitation Facility · Raytown, MO
Jessica Lane Re, LLC is a Substance Abuse Rehabilitation Facility organization in Raytown, MO (NPI 1760197644).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
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
Frequently asked questions
- What is Jessica Lane Re, LLC's NPI number?
- Jessica Lane Re, LLC's National Provider Identifier (NPI) is 1760197644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jessica Lane Re, LLC?
- Jessica Lane Re, LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Jessica Lane Re, LLC located?
- Jessica Lane Re, LLC's practice location on file with NPPES is 11901 Jessica Ln, Raytown, MO 64138-2639.
- What is Jessica Lane Re, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jessica Lane Re, LLC is (754) 300-3120.
- Who is the authorized official for Jessica Lane Re, LLC?
- The authorized official listed on Jessica Lane Re, LLC's NPPES record is Belina Surujon, Contracting & Licensing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jessica Lane Re, LLC's NPI active?
- Yes — Jessica Lane Re, LLC's NPI (1760197644) is active in the NPPES registry as of the last update on 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.