Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Pine Real Estate, LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1346117595

Black Pine Real Estate, LLC is a Substance Abuse Rehabilitation Facility in Leavenworth, Indiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6908 S State Road 66
Leavenworth, IN 47137-8308
Phone: (812) 287-2032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1346117595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Klotz — Owner · (812) 287-2032
NPI enumeratedOctober 22, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address6908 S State Road 66, Leavenworth, IN 47137-8308