Organization Active NPI

Resolute Recovery

  • Substance Abuse Rehabilitation Facility
  • Lynn, MA
National Provider Identifier
1225764988
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RESOLUTE RECOVERY
Practice address
20 Central Ave FL 6
Lynn, MA 01901-1201
Phone
(513) 335-3366
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Mr. Andrew O'Neill
Title
Executive Director
Phone
(513) 335-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

20 Central Ave FL 6
Lynn, MA 01901-1201

Mailing address

49 Patton Rd
Wellesley, MA 02482-4424
Phone (513) 335-3366

Other practice location 1

100 Corporate Pl Ste 401
Peabody, MA 01960-3809
Phone (978) 312-8286

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2274890Resolute Recovery, LLC100 Corporate PL, Peabody, MA 01960Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

100 Corporate Pl
Ste 401
Peabody, MA 01960
Phone (978) 312-8286

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1225764988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PATTON RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824424",
            "telephone_number": "513-335-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTRAL AVE FL 6",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011201",
            "telephone_number": "513-335-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Corporate Pl Ste 401",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019603809",
            "country_code": "US",
            "telephone_number": "978-312-8286",
            "fax_number": "339-500-5418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESOLUTE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-335-3366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.