OrganizationActive
Restore LLC
NPI 1881210474 · Substance Abuse Rehabilitation Facility · Fairbanks, AK
Provider details
- NPI number
- 1881210474
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Timothy Thomas, Chief Operations Officer(907) 374-1097
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1095 Tena Ave
Fairbanks, AK 99701-1422
Phone: (907) 374-1097
Fax: (907) 374-1062
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 73004
Fairbanks, AK 99707-3004
Additional practice locations (1)
- 542 4th Ave Ste B-101Fairbanks, AK 99701-4707Phone: (907) 374-1097Fax: (907) 374-1062
Registry dates
- Enumerated
- 2020-06-19
- 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.