Recovery Centers of America at Greenville LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RECOVERY CENTERS OF AMERICA AT GREENVILLE LLC

Practice address

47 Fisherman LN
Greenville, SC 29615-5013

Phone

(855) 390-6568

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Sergio Cruz

Title

Cfo

Phone

(610) 427-9434

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1053002204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RENAISSANCE BLVD FL 3",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062709",
            "telephone_number": "610-908-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 FISHERMAN LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155013",
            "telephone_number": "855-390-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTERS OF AMERICA AT GREENVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-427-9434"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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": []
}

• Meredith Reaves
• Rebalance Physical Therapy
• Brisilda Bejte Rebol
• Natalie Rech
• Samuel Joseph Recinos
• Recreate Life, LLC
• Red Tide Re LLC
• Dylan L Redd
• Reilly Kelley Redden, DMD
• Courtney Danielle Reddig

• Substance Abuse Rehabilitation Facility in Greenville, SC
• Providers in Greenville, SC by specialty
• Substance Abuse Rehabilitation Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.