NPIMap

Organization Active NPI

Highlife Recovery, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1114472289
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
35066575 Issued in OH
Legal business name
HIGHLIFE RECOVERY, LLC
Practice address
5925 Cleveland Ave
Suite B
Columbus, OH 43231-2208
Phone
(614) 776-4646
Fax
(800) 275-2415
NPI assigned
Aug 18, 2016
Last updated
Oct 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGHLIFE HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Jonathan L HaimesNPI 1437145935
Title
MM/Ceo
Phone
(614) 776-4646

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 35066575 OH Primary

Addresses

Primary practice location

5925 Cleveland Ave
Suite B
Columbus, OH 43231-2208

Mailing address

5925 Cleveland Ave
Suite C
Columbus, OH 43231-2208
Phone (614) 776-4646

Other practice location 1

3142 Broadway Ste 305
Grove City, OH 43123-1780
Phone (614) 776-4646

Other practice location 2

1660 W Market St
Tiffin, OH 44883-2536
Phone (614) 776-4646

Other practice location 3

906 N Court St Ste B
Circleville, OH 43113-1281
Phone (614) 776-4646

Other names 1

  • Highlife Recovery Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2243232Highlife Recovery, LLC1660 W Market St, Tiffin, OH 44883Certificate of waiverNov 16, 2027
36D2270417Highlife Recovery, LLC3142 Broadway Ste 205, Grove City, OH 43123Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Highlife Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5925 Cleveland Ave
Ste B
Columbus, OH 43231
Phone (614) 776-4646

5925 Cleveland Ave
Ste C
Columbus, OH 43231
Phone (614) 776-4646

3142 Broadway
Ste 205
Grove City, OH 43123
Phone (614) 776-4646

3142 Broadway
Ste 305
Grove City, OH 43123
Phone (614) 776-4646

1660 W Market St
Tiffin, OH 44883
Phone (614) 776-4646

1660 W Market St
Ste C
Tiffin, OH 44883
Phone (419) 359-5900

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1114472289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 CLEVELAND AVE",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312208",
            "telephone_number": "614-776-4646",
            "fax_number": "614-398-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 CLEVELAND AVE",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312208",
            "telephone_number": "614-776-4646",
            "fax_number": "800-275-2415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3142 Broadway Ste 305",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431231780",
            "country_code": "US",
            "telephone_number": "614-776-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 W Market St",
            "address_purpose": "LOCATION",
            "city": "Tiffin",
            "state": "OH",
            "postal_code": "448832536",
            "country_code": "US",
            "telephone_number": "614-776-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 N Court St Ste B",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431131281",
            "country_code": "US",
            "telephone_number": "614-776-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGHLIFE RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLIFE HEALTH, LLC",
        "enumeration_date": "2016-08-18",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "HAIMES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MM/CEO",
        "authorized_official_telephone_number": "614-776-4646"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "35066575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlife Recovery",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Highlife Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.