Rca Outpatient Services LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RCA OUTPATIENT SERVICES LLC

Practice address

Recovery Centers of America at Delaware
2383 Limestone Road
Wilmington, DE 19808

Phone

(610) 994-2968

NPI assigned

Apr 17, 2017

Organization subpart

Yes

Parent organization

TRC-OC LLCAs reported in NPPES

Name

Mark Gallihue

Title

Corporate Director, Patient Account

Phone

(610) 994-2968

• RCA AT DELAWARE Doing business as
• Recovery Centers of America at Delaware Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2018.

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1477087401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 RENAISSANCE BLVD",
            "address_2": "4TH FLOOR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062781",
            "telephone_number": "610-994-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RECOVERY CENTERS OF AMERICA AT DELAWARE",
            "address_2": "2383 LIMESTONE ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "610-994-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCA OUTPATIENT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRC-OC LLC",
        "enumeration_date": "2017-04-17",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "GALLIHUE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR, PATIENT ACCOUNT",
        "authorized_official_telephone_number": "610-994-2968"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental 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": "RCA AT DELAWARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RCA AT DELAWARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recovery Centers of America at Delaware",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Wilmington, DE
• Substance Use Disorder Rehabilitation Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.