Via Dolorosa Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

VIA DOLOROSA RECOVERY LLC

Practice address

55 Rodeo Dr
Morehead, KY 40351-7470

Phone

(606) 784-1142

Fax

(606) 780-0213

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Hoffman

Title

Administrator

Phone

(614) 313-2440

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda L Collins, CSW

  • Clinical Social Worker
  • Morehead, KY
  • NPI 1982182036
  NPD (past)
• Neil Jariwala, M.D.

  • Psychiatry Physician
  • Maywood, IL
  • NPI 1710206545
  NPD (past)

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1750100384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RODEO DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403517470",
            "telephone_number": "606-784-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 RODEO DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403517470",
            "telephone_number": "606-784-1142",
            "fax_number": "606-780-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA DOLOROSA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-313-2440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johannie Keith Uy, M.D.
• Jesse Michael Vance, MD, PHARMD, MBA
• Philip W Vankersen, MD
• James A Vansant, MD
• Beth Sheba Vaughn, CSW
• Brandi Vice
• Lauren Vice
• Steven D Vice, MA
• Olivia Vick
• David W Victor Jr., M.D.

• Substance Abuse Rehabilitation Facility in Morehead, KY
• Providers in Morehead, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.