Recovery 180 Virginia LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RECOVERY 180 VIRGINIA LLC

Practice address

6791 James Madison Hwy
Warrenton, VA 20187-9534

Phone

(443) 289-8606

NPI assigned

Jan 30, 2024

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

RECOVERY 180 VIRGINIA LLCAs reported in NPPES

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

Authorized official

Name

Jessie Costley

Title

Credentialing Specialist

Phone

(443) 839-6928

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Recovery 180 Virginia LLC2 organizations share this tax ID, including this one

Part of

Recovery 180 Virginia LLC

Other organizations with this tax ID 1

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

• Recovery 180 Virginia LLC

  • Substance Abuse Rehabilitation Facility
  • Warrenton, VA
  • NPI 1962277640
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Recovery 180 Virginia LLC

  • Substance Abuse Rehabilitation Facility
  • Warrenton, VA
  • NPI 1962277640
  NPPES parent name

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1326800798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BUSINESS PKWY S STE 1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573048",
            "telephone_number": "443-839-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6791 JAMES MADISON HWY",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201879534",
            "telephone_number": "443-289-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY 180 VIRGINIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVERY 180 VIRGINIA LLC",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "COSTLEY",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "443-839-6928"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "8228-02-033",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "8228-02-035",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Ragsdale, LPC
• Laura Ramirez
• Stephanie Scriven Ramirez
• James R Ramser, MD
• Rappahannock-Rapidan Community Services Board
• Recovery 180 Virginia LLC
• Renee Reedy, DC
• Reemerge Child Therapy
• David C Reilly, M.D.
• Stephen A Reiter, MD

• Community/Behavioral Health Agency in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.