Organization Active NPI

Quest Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mount Vernon, OH
National Provider Identifier
1104450063
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
QUEST RECOVERY CENTER, LLC
Practice address
112 Harcourt Rd Ste 2
Mount Vernon, OH 43050-3944
Phone
(740) 263-7614
NPI assigned
Feb 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Ravyn P. Howell, APRN-BCNPI 1689037582
Title
Nurse Practitioner
Phone
(682) 224-9655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X

Addresses

Primary practice location

112 Harcourt Rd Ste 2
Mount Vernon, OH 43050-3944

Mailing address

112 Harcourt Rd Ste 2
Mount Vernon, OH 43050-3944
Phone (740) 263-7614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200522000660 OH Part B Supplier - Clinic/Group Practice 3476974718 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
Practice locations: Columbus, OH; Mount Vernon, OH; Fairlawn, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

401 W High St
Ste 9
Mount Vernon, OH 43050
Phone (740) 326-6069

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1104450063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD STE 2",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503944",
            "telephone_number": "740-263-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD STE 2",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503944",
            "telephone_number": "740-263-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "RAVYN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "682-224-9655",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.