Survival Recovery

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

SURVIVAL RECOVERY

Practice address

624 Trafalgar Dr
Hagerstown, MD 21742-1230

Phone

(410) 259-4873

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Kevin Shorb

Title

Owner

Phone

(410) 259-4873

Specialties & licenses 1

Addresses

Other names 1

• Survival Recovery Doing business as

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1649023979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 TRAFALGAR DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421230",
            "telephone_number": "410-259-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 TRAFALGAR DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421230",
            "telephone_number": "410-259-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURVIVAL RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "SHORB",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-259-4873"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Survival Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brienne Superczynski, LCSW-C
• Agnes Marie Supernavage, PT
• Charles J Supernavage, MD
• Support Services of Maryland Inc
• Survival House
• Devin Sean Sutton
• Khetisuda Suvarnasuddhi, M.D.
• Connor Reed Swank, PT, DPT
• Mackenzie Lorraine Swank, PT, DPT
• Michael R Swarner, RPH

• Physical Disabilities Residential Treatment Facility in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Physical Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.