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

Restore LLC

Organization Case Management Agency · NPI 1134588528

Restore LLC is a Case Management Agency in Fairbanks, Alaska. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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

542 4th Ave Ste B101
Fairbanks, AK 99701-4707
Phone: (907) 374-1097
Fax: (907) 374-1062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1134588528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Thomas — Chief Operations Officer · (907) 374-1097
NPI enumeratedFebruary 15, 2016
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing addressPo Box 73004, Fairbanks, AK 99707-3004

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