Recovery Behavioral Healthcare, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RECOVERY BEHAVIORAL HEALTHCARE, LLC

Practice address

416 West Blvd Ste 4
Chesterfield, SC 29709-1507

Phone

(910) 273-9956

NPI assigned

Apr 25, 2015

Last updated

May 11, 2016By 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. Bianco D Holmon, MSWNPI 1215331590

Title

Co-Owner/Operator

Phone

(910) 273-9956

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bianco Holmon, MSW, LCSW, LCAS-A

  • Clinical Social Worker
  • Hope Mills, NC
  • NPI 1215331590
  NPD (past) Authorized official

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1720475932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283480542",
            "telephone_number": "910-273-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 WEST BLVD STE 4",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297091507",
            "telephone_number": "910-273-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY BEHAVIORAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-25",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "HOLMON",
        "authorized_official_first_name": "BIANCO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER/OPERATOR",
        "authorized_official_telephone_number": "910-273-9956",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7002",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7267",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Luke Perdue Sr., DMD
• Katherine Oliver Phillips, BSN,RN
• Lee Hope Hancock Pigg
• Tara Michelle Polson, CC
• Jan Psillos
• Regal in Home Service LLP
• Lori Rivers
• Tara Brown Rivers
• Susan Robins
• Karen Gulledge Rogers, LPES

• Community/Behavioral Health Agency in Chesterfield, SC
• Providers in Chesterfield, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.