Recovery Is Possible
Organization Active NPI Substance Abuse Rehabilitation Facility · Toledo, OH
NPI 1033809447 · NPPES record last updated May 9, 2023
Key facts
- NPI
- 1033809447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- RECOVERY IS POSSIBLE
- Practice address
- 757 Prouty Ave
Toledo, OH 43609-3331 - Phone
- (419) 215-4131
- NPI assigned
- May 9, 2023
- Organization subpart
- No
Authorized official
- Name
- Shauntap Patrick
- Title
- Owner/LPN
- Phone
- (419) 215-4131
Practitioners 1
-
Shaunta Patrick, LPN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Case Management Agency | 251B00000X | |||
| Recovery Care Clinic/Center | 261QR0800X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
757 Prouty Ave
Toledo, OH 43609-3331
Mailing address
757 Prouty Ave
Toledo, OH 43609-3331
Phone (419) 215-4131
NPI Registry JSON
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1033809447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 PROUTY AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436093331",
"telephone_number": "419-215-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 PROUTY AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436093331",
"telephone_number": "419-215-4131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY IS POSSIBLE",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "PATRICK",
"authorized_official_first_name": "SHAUNTAP",
"authorized_official_title_or_position": "OWNER/LPN",
"authorized_official_telephone_number": "419-215-4131"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.