Southwestern Recovery Center, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHWESTERN RECOVERY CENTER, LLC

Practice address

4461 Broadway Ste 150
Grove City, OH 43123-3064

Phone

(614) 594-2141

NPI assigned

Feb 25, 2021

Organization subpart

No

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

Authorized official

Name

Brian Dean

Title

Admin

Phone

(614) 762-5206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southwestern Recovery Center, LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1295241933

  O20180129001817

  Same enrollment
• Southwestern Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grove City, OH
  • NPI 1427642966

  O20180129001817

  Same enrollment

Tax ID family

Southwestern Recovery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Southwestern Recovery Center, LLC

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1235735986
  NPD tax ID
• Southwestern Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grove City, OH
  • NPI 1427642966
  NPD tax ID

Practitioners 3

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

• Dolores Duncan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, OH
  • NPI 1861042244
  NPD
• Rachael N. Haines, PA-C

  • Physician Assistant
  • Columbus, OH
  • NPI 1629584230
  NPD
• Amy R McCaul, FNP

  • Family Nurse Practitioner
  • Marion, OH
  • NPI 1982168944
  NPD

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1245824788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 BRIGGS RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233218",
            "telephone_number": "614-594-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 BROADWAY STE 150",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233064",
            "telephone_number": "614-594-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 W Emmitt Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "456901076",
            "country_code": "US",
            "telephone_number": "740-912-1034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 N Plains Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "The Plains",
            "state": "OH",
            "postal_code": "457801095",
            "country_code": "US",
            "telephone_number": "614-594-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWESTERN RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "614-762-5206"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South West Pediatrics Inc.
• South Western City School District
• South-Western City Schools
• Southwest Eyecare, LLC
• Southwestern Obstetrics and Gynecology, Inc.
• Southwestern Recovery Center, LLC
• Space Falcon Company
• Cynthia Graves Spann, RN
• Payton Sparks, DO
• Derek Ryan Speaker, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grove City, OH
• Providers in Grove City, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.