Organization Active NPI

Aquila Recovery Chartered

  • Clinic/Center
  • Washington, DC
National Provider Identifier
1134499635
Registry record updated Dec 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
110211A-225 Issued in DC
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

Updated by the provider on Dec 31, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.