MEDICARE: INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	324500000X	Substance Abuse Rehabilitation Facility
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1336848076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC

Provider Business Mailing Address
First Line	:	2925 10TH AVE N
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 N SHORE DR STE 102
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-3144
Country	:	US
Telephone Number	:	561-635-2400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KIRILL VESSELOV
Credential	:
Telephone Number	:	561-305-0461

Provider Enumeration Date	:	03/02/2023
Last Update Date	:	05/16/2024

Similar Medicare Providers

1952994055 — UNBOUND TREATMENT, INC.
Practice Location Address:

601 N SHORE DR STE 102
JEFFERSONVILLE, IN
47130-3144

Practice Phone: 866-286-2686
Practice Fax: 855-929-4545

1083383129 — SELAH HOUSE, LLC
Practice Location Address:

4500 TOWN CENTER BLVD
JEFFERSONVILLE, IN
47130-7148

Practice Phone: 812-484-1828
Practice Fax: 812-315-3250

1376095711 — NORTH CLARK MEDICAL GROUP LLC
Practice Location Address:

1802 E 10TH ST
JEFFERSONVILLE, IN
47130-6016

Practice Phone: 812-288-2488
Practice Fax: 812-288-6603

1629911383 — MCCULLUM ORTHODONTICS
Practice Location Address:

430 PATROL RD
JEFFERSONVILLE, IN
47130-7754

Practice Phone: 812-213-9300
Practice Fax: 812-213-9305

1518782663 — ELEMENTAL BODY & MIND
Practice Location Address:

201 E MARKET ST STE 3
JEFFERSONVILLE, IN
47130-3362

Practice Phone: 812-408-3674
Practice Fax: 812-407-8126

1063415297 — PARK VIEW PSYCHIATRIC SERVICES, PSC
Practice Location Address:

510 SPRING ST
JEFFERSONVILLE, IN
47130-3554

Practice Phone: 812-282-1888
Practice Fax: 812-218-9318

Directions to “INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.