Recovery Life Group LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RECOVERY LIFE GROUP LLC

Doing business as

Recovery Life Group LLC

Practice address

14535 Candy Hill Rd
Upper Marlboro, MD 20772-8054

Phone

(301) 343-8095

NPI assigned

Oct 6, 2021

Last updated

Oct 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Delozier

Title

Executive Director

Phone

(301) 343-8095

Specialties & licenses 1

Addresses

Other names 1

• Recovery Life Group LLC Doing business as

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1669134722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 CANDY HILL RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728054",
            "telephone_number": "301-343-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 CANDY HILL RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728054",
            "telephone_number": "301-343-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY LIFE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "DELOZIER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-343-8095",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Life Group LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recovery Life Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ja'Bre C Randall
• Shanice Monique Randall, LMSW
• Britney Ransom
• Aileen Marie Raulin, RN CPNP
• Jamila C Rawlings Logan, PT
• Johanna Reed, MSW
• Laconya L Reed, LCPC, LPC
• Marvin Reese
• Refreshing Springs Assisted Living Homes, Inc
• Rehab 2 Perform LLC

• Substance Abuse Rehabilitation Facility in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.