Organization Active NPI

Recovery Lifestyles Inc

  • Community/Behavioral Health Agency
  • Adrian, MI
National Provider Identifier
1548490600
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
460059 Issued in MI
Legal business name
RECOVERY LIFESTYLES INC
Practice address
216 Division St
Adrian, MI 49221-2911
Phone
(517) 265-9595
Fax
(517) 263-6081
NPI assigned
Jul 22, 2009
Last updated
Jul 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Ms. Sally Welsh, LLPC CAAC
Title
Director
Phone
(517) 265-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 460059 MI Primary

Addresses

Primary practice location

216 Division St
Adrian, MI 49221-2911

Mailing address

216 Division St
Adrian, MI 49221-2911
Phone (517) 265-9595

Other identifiers 1

IdentifierTypeStateIssuer
101YP2500XMedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1548490600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 DIVISION ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212911",
            "telephone_number": "517-265-9595",
            "fax_number": "517-263-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 DIVISION ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212911",
            "telephone_number": "517-265-9595",
            "fax_number": "517-263-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY LIFESTYLES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "517-265-9595",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLPC CAAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "460059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YP2500X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.