Recovery Space

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

RECOVERY SPACE

Practice address

1535 N Carlisle St
Philadelphia, PA 19121-4314

Phone

(855) 766-3494

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Yola VitalNPI 1134818248

Title

Owner

Phone

(908) 764-4513

Specialties & licenses 1

Addresses

Locations

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.

• Yola Vital

  • Personal Emergency Response Attendant
  • Philadelphia, PA
  • NPI 1134818248
  NPD Authorized official

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1225894017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 N CARLISLE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214314",
            "telephone_number": "855-766-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N CARLISLE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214314",
            "telephone_number": "855-766-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "VITAL",
        "authorized_official_first_name": "YOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-764-4513"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reconstructive Orthopaedic Associates II, P.C.
• Reconstructive Orthopaedic Associates II, P.C.
• Reconstructive Orthopaedic Associates II, P.C.
• Recovery Innovations of Pennsylvania
• Recovery Lab LLC
• Recovery Transit LLC
• Ian Rodel Agnote Recto, DNP, CRNA
• Vincent Dante Recupido, LSW
• Patricia L. Red Hawk, M.D.
• Red Lion Chiropractic Center, PC

• Case Manager/Care Coordinator in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.