MEDICARE: HARSHA RECOVERY CENTER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0802X	Addiction Psychiatry Physician
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1588484323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARSHA RECOVERY CENTER, LLC

Provider Business Mailing Address
First Line	:	1980 E WOODSMALL DR
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47802-4937
Country	:	US
Telephone Number	:	812-298-8888
Fax Number	:	812-231-5227

Provider Business Practice Location Address
First Line	:	8253 VIRGINIA ST
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-6291
Country	:	US
Telephone Number	:	812-298-8888
Fax Number	:	812-231-5227

Authorized Official
Title or Position	:	COO
Name	:	MS. HOLLY NEAR
Credential	:
Telephone Number	:	812-234-4899

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	02/26/2026

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