NPIMap

Organization Active NPI

Vance Recovery, PC

Doing business as Vance Recovery

  • Methadone Clinic
  • Henderson, NC
National Provider Identifier
1912346180
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
VANCE RECOVERY, PC
Doing business as
Vance Recovery
Practice address
510 Dabney Dr
Suite B
Henderson, NC 27536-3946
Phone
(919) 676-9699
Fax
(919) 676-9946
NPI assigned
Jun 20, 2013
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Eric D Morse, MDNPI 1801804968
Title
Program Sponsor/Medical Director
Phone
(919) 676-9699

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

510 Dabney Dr
Suite B
Henderson, NC 27536-3946

Mailing address

PO Box 135
Henderson, NC 27536-0135
Phone (252) 572-2625

Other names 1

  • Vance Recovery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191217003177 NC Part B Supplier - Opioid Treatment Program (Otp) 0840624243 Practice locations: Henderson, NC

National Provider Directory

National Provider Directory
Tax ID family
Vance Recovery4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

932 W Andrews Ave
Henderson, NC 27536
Phone (252) 572-2625

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1912346180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275360135",
            "telephone_number": "252-572-2625",
            "fax_number": "252-572-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DABNEY DR",
            "address_2": "SUITE B",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363946",
            "telephone_number": "919-676-9699",
            "fax_number": "919-676-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE RECOVERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROGRAM SPONSOR/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-676-9699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vance Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vance Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.