RSBM Recovery at Mooresville

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RSBM RECOVERY AT MOORESVILLE

Practice address

12168 N Mann Rd
Mooresville, IN 46158-7052

Phone

(718) 288-1160

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Shea Friedman

Title

Operator

Phone

(718) 288-1160

Specialties & licenses 1

Addresses

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 2

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

• Vahid Osman, MD

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1740264720
  NPD (past)
• Ismail Qattash, M.D.

  • Nephrology Physician
  • Greenfield, IN
  • NPI 1538329982
  NPD (past)

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1619737459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 NOEL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781515",
            "telephone_number": "718-288-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12168 N MANN RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461587052",
            "telephone_number": "718-288-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSBM RECOVERY AT MOORESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SHEA",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "718-288-1160"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Rinehart, PT, CLT
• Merrill Ritter, MD
• RN 2U, Inc
• Kelly Lym Roberts
• Stephanie Rosa, MD
• Catherine Ann Rubin-Campos, P.T
• S. C. Cheesman D.D.S. P.C.
• Sacred Tranquility Counseling
• Catherine Salo, OTD
• Dara L Sander, NP

• Substance Abuse Rehabilitation Facility in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.