NPIMap

Organization Active NPI

Recovery180 LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1114712031
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RECOVERY180 LLC
Practice address
3242 Southern Ave
Baltimore, MD 21214-3221
Phone
(443) 289-8606
NPI assigned
Apr 11, 2025
Organization subpart
Yes
Parent organization
RECOVERY180 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Desiree N Mountain
Title
Compliance
Phone
(443) 289-8606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

3242 Southern Ave
Baltimore, MD 21214-3221

Mailing address

1100 Business Pkwy S Ste 1
Westminster, MD 21157-3048

National Provider Directory

National Provider Directory
Tax ID family
Recovery180 LLC24 organizations share this tax ID, including this one
Part of
Recovery180 LLC

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1114712031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BUSINESS PKWY S STE 1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 SOUTHERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143221",
            "telephone_number": "443-289-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY180 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVERY180 LLC",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "443-289-8606"
    },
    "taxonomies": [
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.