XPLORE RECOVERY - OCOEE RIVER LLC — NPI 1093696635 (Licensed & Credentialed Substance Abuse Rehabilitation Facility in OCOEE, TN)

CMS-1500 Box 24J / 33a • NPI

1093696635

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

324500000X

Licensed & Credentialed Substance Abuse Rehabilitation Facility

Box 32 Service Location & ZIP+4

658 HILDABRAND RD, OCOEE, TN, 37361-3444

✓ 9-Digit EDI 837 ZIP+4 (37361-3444)

Practice Phone & Referral Fax

(615) 605-4644

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093696635 (XPLORE RECOVERY - OCOEE RIVER LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093696635` (NPI-2 Organization / Facility)
Provider / Legal Name	XPLORE RECOVERY - OCOEE RIVER LLC
Plain-English Specialty	Licensed & Credentialed Substance Abuse Rehabilitation Facility NUCC Code: `324500000X` (Substance Abuse Rehabilitation Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	658 HILDABRAND RD, OCOEE, TN, 37361-3444
Practice Telephone / Fax	Tel: (615) 605-4644
Administrative Mailing Address	658 HILDABRAND RD, OCOEE, TN, 37361-3444
Enumeration & Last Sync	Enumerated: 2025-09-10 \| CMS Record Updated: 2026-06-01
Authorized Official	JOHN LIBBY (Compliance)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

658 HILDABRAND RD, OCOEE, TN, 37361-3444

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Plain-English Taxonomy & CMS Crosswalk (324500000X)

What Does Taxonomy Code 324500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 324500000X translates to:
"Licensed & Credentialed Substance Abuse Rehabilitation Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Substance Abuse Rehabilitation Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (XPLORE RECOVERY - OCOEE RIVER LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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XPLORE RECOVERY - OCOEE RIVER LLC (NPI #1093696635)