Organization Active NPI

Blast Recovery Center

  • Recovery Care Clinic/Center
  • Franklin, VA
National Provider Identifier
1144981200
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
BLAST RECOVERY CENTER
Doing business as
Blast Recovery Center
Practice address
510 Pretlow St
Franklin, VA 23851-2024
Phone
(757) 304-1309
NPI assigned
Dec 31, 2021
Last updated
Apr 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Authorized official

Name
Brandi N HallNPI 1538913876
Title
Executive Director/Ceo
Phone
(757) 304-1309

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
Recovery Care Clinic/Center 261QR0800X NU Primary

Addresses

Primary practice location

510 Pretlow St
Franklin, VA 23851-2024

Mailing address

510 Pretlow St
Franklin, VA 23851-2024
Phone (757) 304-1309

Other names 1

  • Blast Recovery Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712966400000",
    "number": "1144981200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PRETLOW ST",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512024",
            "telephone_number": "757-304-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PRETLOW ST",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512024",
            "telephone_number": "757-304-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAST RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "757-304-1309"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blast Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; 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.