Organization Active NPI

Push for Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
National Provider Identifier
1336753466
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PUSH FOR RECOVERY, LLC
Practice address
3880 Clime Road
Building 2/Suite a
Columbus, OH 43228-3532
Phone
(614) 507-0713
NPI assigned
Sep 5, 2020
Last updated
Sep 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Authorized official

Name
Richard Fannin
Title
Owner
Phone
(614) 507-0713

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3880 Clime Road
Building 2/Suite a
Columbus, OH 43228-3532

Mailing address

5944 Epernay Way
Galloway, OH 43119-8588
Phone (614) 507-0713

Other names 1

  • Fannin Consulting Services & Associates, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3880 Clime Rd
Bldg 2
Columbus, OH 43228
Phone (614) 507-0713

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599264000000",
    "number": "1336753466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 EPERNAY WAY",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198588",
            "telephone_number": "614-507-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 CLIME ROAD",
            "address_2": "BUILDING 2/SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283532",
            "telephone_number": "614-507-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSH FOR RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-05",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A",
        "authorized_official_last_name": "FANNIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-507-0713"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fannin Consulting Services & Associates, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.