Rca Telehealth LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RCA TELEHEALTH LLC

Practice address

2701 Renaissance Blvd FL 4
King of Prussia, PA 19406-2781

Phone

(610) 994-2968

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Mark Gallihue

Title

VP of Patient Accounts

Phone

(610) 994-2968

Specialties & licenses 1

Addresses

Other names 1

• Shoutout Doing business as

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1194489658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 RENAISSANCE BLVD FL 4",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062781",
            "telephone_number": "610-994-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 RENAISSANCE BLVD FL 4",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062781",
            "telephone_number": "610-994-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCA TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "GALLIHUE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "610-994-2968"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoutout",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blair Raphael, BCBA
• Robert L Rapine, DMD
• Cody Lee Rathke, PSYD
• Jenna Ravese
• Danielle N. Ray, LPC
• Samantha Re
• Receptive Home Care
• Reconstructive Orthopaedic Associates II, P.C.
• Recovery Centers of America at Voorhees NJ Medicaid Only
• Aubrey Redd, MS, RDN

• Substance Use Disorder Rehabilitation Clinic/Center in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.