Recovery Place Community Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

025-698-D Issued in GA

Legal business name

RECOVERY PLACE COMMUNITY SERVICES, INC.

Practice address

515 E 63Rd St
Savannah, GA 31405-4300

Phone

(912) 355-5938

Fax

(912) 355-5954

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Leslie S Backus

Title

Cfo

Phone

(912) 355-1440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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

• Diane Carol Diver, LCSW, CAC II

  • Clinical Social Worker
  • Savannah, GA
  • NPI 1942551908
  Medicare reassignment NPD
• Nancy Elizabeth Backus, MD

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1730325085
  NPD

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1174891774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 65TH ST",
            "address_2": "SUITE 104",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054421",
            "telephone_number": "912-355-1440",
            "fax_number": "912-352-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 63RD ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054300",
            "telephone_number": "912-355-5938",
            "fax_number": "912-355-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY PLACE COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "BACKUS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-355-1440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "025-698-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Elizabeth Reardon, M.S., R.D.
• Matthew Patrick Reaves, PA-C
• Rebecca Hawkins & Associates, LTD
• Recovery & Support Alliance, LLC
• Recovery Place
• Recovery Place, Inc.
• Red One Medical Devices, LLC
• Bonzo K Reddick, M.D.
• Keisha L.B. Reddick, MD
• Christen Law Redding, NCC, LAPC

• Community/Behavioral Health Agency in Savannah, GA
• Providers in Savannah, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.