Active NPI
Aquila Recovery Chartered
- Clinic/Center
- Washington, DC
National Provider Identifier
1134499635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 110211A-225
- Legal business name
- AQUILA RECOVERY CHARTERED
- Practice address
- 4455 Connecticut Ave NW
Suite 350
Washington, DC 20008-2324 - Phone
- (202) 244-0962
- NPI assigned
- Dec 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert R. Coffey
- Title
- Vice President and Practice Manager
- Phone
- (202) 244-0962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 110211A-225 | DC | Primary |
Addresses
Primary practice location
4455 Connecticut Ave NW
Suite 350
Washington, DC 20008-2324
Mailing address
4455 Connecticut Ave NW
Suite 350
Washington, DC 20008-2324
Phone (202) 244-0962
Other names 1
- Aquila Recovery
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325289600000",
"number": "1134499635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 CONNECTICUT AVE NW",
"address_2": "SUITE 350",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200082324",
"telephone_number": "202-244-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 CONNECTICUT AVE NW",
"address_2": "SUITE 350",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200082324",
"telephone_number": "202-244-0962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AQUILA RECOVERY CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-31",
"last_updated": "2011-12-31",
"status": "A",
"authorized_official_last_name": "COFFEY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "VICE PRESIDENT AND PRACTICE MANAGER",
"authorized_official_telephone_number": "202-244-0962",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "DC",
"license": "110211A-225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aquila Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.