Silver Glen Road Opco LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SILVER GLEN ROAD OPCO LLC

Practice address

1855 Rohlwing Rd Ste a
Rolling Meadows, IL 60008-1474

Phone

(800) 732-6837

NPI assigned

Apr 2, 2025

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) 994-2900

Specialties & licenses 1

Addresses

Other names 1

• Recovery Centers of America Outpatient Services Doing business as

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

CLIA laboratory certificates

Tax ID family

Recovery Centers of America at St Charles2 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.

• Silver Glen Road Opco LLC

  • Substance Abuse Rehabilitation Facility
  • St Charles, IL
  • NPI 1578187886
  NPD tax ID

Locations

Practitioners 2

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

• Anthony Robert Johnson

  • Mental Health Counselor
  • Rolling Meadows, IL
  • NPI 1740753722
  NPD
• Katrina Marie Robinette, LSW

  • Addiction (Substance Use Disorder) Counselor
  • Saint Charles, IL
  • NPI 1518682913
  NPD (past)

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1114721982",
    "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": "1855 ROHLWING RD STE A",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081474",
            "telephone_number": "800-732-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER GLEN ROAD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-994-2900"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Centers of America Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recovery Centers of America Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ghanshyam M Shah, M.D.
• Hetal V Shah, M.D.
• Mary Grace G Shiffer
• Soo Shim, LCSW
• Ruth Lynn Shook, PSY.D.
• Brandy Silvio, APRN
• Grace Sinopoli, RD
• Saritha N/a Sirivol
• Mairead Skelton
• Agnieszka Smirnow, PHARMD

• Substance Abuse Rehabilitation Facility in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.