Performance Recovery Inc

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

PERFORMANCE RECOVERY INC

Practice address

6105 Habersham Dr
Kernersville, NC 27284-6317

Phone

(336) 423-8740

NPI assigned

Jul 31, 2014

Last updated

Jul 31, 2014By 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

Larry Coplin

Title

Official

Phone

(336) 423-8740

Specialties & licenses 2

Addresses

Tax ID family

Performance Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Performance Recovery, Inc

  • Community/Behavioral Health Agency
  • Kernersville, NC
  • NPI 1366876559
  NPD tax ID

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.

• Larry Wendell Coplin Jr.

  • Mental Health Counselor
  • Kernersville, NC
  • NPI 1881880979
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1871901074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 HABERSHAM DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846317",
            "telephone_number": "336-423-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 HABERSHAM DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846317",
            "telephone_number": "336-423-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "COPLIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "336-423-8740"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Peche
• Milagros S Peck, MS, IBCLC
• Monica Pegram
• Jamila Annette Pellam Palmer
• Aimee Laws Pence
• Performance Recovery, Inc
• Kara Perrell
• Shanell Perry-Samuels
• Julianna Perttunen, AUD
• Niphan Pesayanavin, DPT,PT, LAT,ATC

• Children's Substance Abuse Rehabilitation Facility in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Children's Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.