Organization Active NPI

Advanced Recovery Services, Inc.

  • Specialist
  • Columbus, OH
National Provider Identifier
1619211547
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13363 Issued in OH
Legal business name
ADVANCED RECOVERY SERVICES, INC.
Practice address
309 South 4TH Street
Columbus, OH 43215
Phone
(614) 918-3330
Fax
(614) 918-3329
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Ms. Aaliyah Fauntleroy
Title
Co-Director
Phone
(614) 918-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 13363 OH Primary

Addresses

Primary practice location

309 South 4TH Street
Columbus, OH 43215

Mailing address

326 S High St
Ste 200
Columbus, OH 43215-4525
Phone (614) 918-3330

Other identifiers 1

IdentifierTypeStateIssuer
13363OtherOHODADAS CERTTIFICATION

Other names 1

  • ARS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Recovery Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1619211547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S HIGH ST",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154525",
            "telephone_number": "614-918-3330",
            "fax_number": "614-918-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SOUTH 4TH STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-918-3330",
            "fax_number": "614-918-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "FAUNTLEROY",
        "authorized_official_first_name": "AALIYAH",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "614-918-3330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "13363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODADAS CERTTIFICATION",
            "identifier": "13363",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2016; 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.