Organization Active NPI

Resolutions Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Farrell, PA
National Provider Identifier
1518511898
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RESOLUTIONS RECOVERY CENTER, LLC
Doing business as
Resolutions Recovery Center, LLC
Practice address
1980 Green St
Farrell, PA 16121-1362
Phone
(724) 813-7690
Fax
(878) 202-4275
NPI assigned
Jul 25, 2019
Last updated
Jul 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Myron Allen Bundrant, M.S., MBA
Title
Owner and Operator
Phone
(724) 813-7690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

1980 Green St
Farrell, PA 16121-1362

Mailing address

1980 Green St
Farrell, PA 16121-1362
Phone (724) 813-7690

Other identifiers 1

IdentifierTypeStateIssuer
437031MedicaidPA

Other names 1

  • Resolutions Recovery Center, LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2228256Resolutions Recovery Center, LLC1980 Green St, Farrell, PA 16121Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory

Locations

1980 Green St
Farrell, PA 16121
Phone (724) 347-5337

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1518511898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 GREEN ST",
            "city": "FARRELL",
            "state": "PA",
            "postal_code": "161211362",
            "telephone_number": "724-813-7690",
            "fax_number": "878-202-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 GREEN ST",
            "city": "FARRELL",
            "state": "PA",
            "postal_code": "161211362",
            "telephone_number": "724-813-7690",
            "fax_number": "878-202-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTIONS RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "BUNDRANT",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "724-813-7690",
        "authorized_official_credential": "M.S., MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437031",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resolutions Recovery Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farrell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.