Organization Active NPI

Recovery4Life

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
National Provider Identifier
1669130456
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Jun 17, 2024

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)CodeLicenseStatePrimary
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
Recovery4Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.