Phase One Recovery House for Women

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

PHASE ONE RECOVERY HOUSE FOR WOMEN

Practice address

5515 Dunham Rd
Maple Heights, OH 44137-3670

Phone

(216) 510-7515

NPI assigned

Sep 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosaline Lyons

Title

Ceo

Phone

(216) 246-1885

Specialties & licenses 2

Addresses

Other names 1

• Kalon spa bar inc Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1003586694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 DUNHAM RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373670",
            "telephone_number": "216-510-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 DUNHAM RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373670",
            "telephone_number": "216-510-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE ONE RECOVERY HOUSE FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "ROSALINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-246-1885"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalon spa bar inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tasha Maria Peacock
• Tomeka Marie Pemberton
• Perfect Placement Home Care LLC
• Ashley Pettigrew
• Phase One Recovery for Women
• Montreal Phillips
• Rodnika R Phillips
• Phoenix Maple Heights Operating Co., LLC
• Ariel Pinkney, ATC, LAT
• Christina Pitchford

• Community Health Clinic/Center in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Community Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.