Red Oak Adolescent Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RED OAK ADOLESCENT RECOVERY LLC

Practice address

517 Cub Creek Rd
Ellenboro, NC 28040-8733

Phone

(828) 318-0148

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Mark Edwards

Title

Cfo

Phone

(205) 244-8112

Specialties & licenses 2

Addresses

Other names 1

• The Foothills at Red Oak Recovery Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Brady J Schroer, D.O.

  • Psychiatry Physician
  • Hendersonville, NC
  • NPI 1104854686
  NPD (past)

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1356813802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EXECUTIVE PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012426",
            "telephone_number": "205-251-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CUB CREEK RD",
            "city": "ELLENBORO",
            "state": "NC",
            "postal_code": "280408733",
            "telephone_number": "828-318-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAK ADOLESCENT RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-244-8112"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foothills at Red Oak Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Foothills at Red Oak Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Generations Inc.
• Person 1St LLC
• Albertine Pierre
• Prime Vista
• Primevista LLC
• Glenda A Robbins
• Shanova Solutions LLC
• Paul Leo Tecklenberg, MD
• Jennifer Lynne Wood, BCABA

• Substance Abuse Rehabilitation Facility in Ellenboro, NC
• Providers in Ellenboro, NC by specialty
• Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.