Organization Active NPI

Recovery Health Professional LLC

  • Family Nurse Practitioner
  • Longmeadow, MA
National Provider Identifier
1780277368
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RECOVERY HEALTH PROFESSIONAL LLC
Practice address
171 Dwight Rd Ste 102
Longmeadow, MA 01106-1768
Phone
(413) 824-4070
Fax
(413) 216-3304
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Dr. Ema Uko-AbasiNPI 1245739341
Title
Ceo
Phone
(413) 824-4070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

171 Dwight Rd Ste 102
Longmeadow, MA 01106-1768

Mailing address

24 Grassy Meadow Rd
Wilbraham, MA 01095-1446
Phone (413) 824-4070

Other names 1

  • Ema Uko-Abasi Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230313000175 MA Part B Supplier - Clinic/Group Practice 9638543721 Receives reassigned benefits from 1 practitioner
Practice locations: Longmeadow, MA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2287002Recovery Health Professional LLC171 Dwight Rd, Longmeadow, MA 01106Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1780277368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GRASSY MEADOW RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951446",
            "telephone_number": "413-824-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DWIGHT RD STE 102",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061768",
            "telephone_number": "413-824-4070",
            "fax_number": "413-216-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY HEALTH PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "UKO-ABASI",
        "authorized_official_first_name": "EMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-824-4070",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ema Uko-Abasi",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.