NPIMap

Organization Active NPI

Recovery Centers of America at Ventnor NJ Medicaid Only

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ventnor City, NJ
National Provider Identifier
1154858520
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RECOVERY CENTERS OF AMERICA AT VENTNOR NJ MEDICAID ONLY
Practice address
6601 Ventnor Ave Ste 12
Ventnor City, NJ 08406-2172
Phone
(610) 994-2900
NPI assigned
May 17, 2017
Reactivated
Feb 4, 2019
Organization subpart
Yes
Parent organization
TRC-OC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Kevin McClure
Title
Cfo
Phone
(610) 994-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

6601 Ventnor Ave Ste 12
Ventnor City, NJ 08406-2172

Mailing address

2201 Renaissance Blvd FL 3
King of Prussia, PA 19406-2709
Phone (610) 994-2900

Other names 1

  • Recovery Centers of America at Ventnor Other name

National Provider Directory

National Provider Directory
Tax ID family
5034 Atlantic Avenue Opco LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

6601 Ventnor Ave
Ste 12
Ventnor City, NJ 08406
Phone (609) 350-6680

6601 Ventnor Ave
Bldg T
Ventnor City, NJ 08406

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1154858520",
    "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": "610-994-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 VENTNOR AVE STE 12",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062172",
            "telephone_number": "610-994-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTERS OF AMERICA AT VENTNOR NJ MEDICAID ONLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRC-OC LLC",
        "enumeration_date": "2017-05-17",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "deactivation_date": "2018-04-24",
        "reactivation_date": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-994-2900"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Centers of America at Ventnor",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Recovery Centers of America at Ventnor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ventnor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.