Organization Active NPI

R3 Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lancaster, PA
National Provider Identifier
1841070794
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
R3 RECOVERY SERVICES
Practice address
618 Columbia Ave
Lancaster, PA 17603-3633
Phone
(610) 333-2186
NPI assigned
Sep 28, 2023
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Caleb Josef Madison
Title
Director of Operations
Phone
(610) 333-2186

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

618 Columbia Ave
Lancaster, PA 17603-3633

Mailing address

618 Columbia Ave
Lancaster, PA 17603-3633

National Provider Directory

National Provider Directory

Locations

618 Columbia Ave
Lancaster, PA 17603
Phone (610) 333-2186

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1841070794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 COLUMBIA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 COLUMBIA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033633",
            "telephone_number": "610-333-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R3 RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "JOSEF",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "610-333-2186"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.