Active NPI
Recovery4Life
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, OH
National Provider Identifier
1669130456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- RECOVERY4LIFE
- Practice address
- 31 Sherman Ave
Columbus, OH 43205-1421 - Phone
- (614) 352-6807
- NPI assigned
- Nov 30, 2021
- Reactivated
- Jan 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia I Clagg, LISW-S
- Title
- Ceo
- Phone
- (614) 352-6807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
31 Sherman Ave
Columbus, OH 43205-1421
Mailing address
31 Sherman Ave
Columbus, OH 43205-1421
Phone (614) 352-6807
National Provider Directory
National Provider Directory- Tax ID family
- Recovery4Life
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Columbus, OH
- NPI 1689332470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1669130456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SHERMAN AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051421",
"telephone_number": "614-352-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SHERMAN AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051421",
"telephone_number": "614-352-6807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY4LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-30",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"deactivation_date": "2022-02-14",
"reactivation_date": "2023-01-18",
"status": "A",
"authorized_official_last_name": "CLAGG",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-352-6807",
"authorized_official_credential": "LISW-S"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 17, 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.