Active NPI
Power of Recovery LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Revere, MA
National Provider Identifier
1932748274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- POWER OF RECOVERY LLC
- Practice address
- 385 Broadway Ste 203
Revere, MA 02151-3049 - Phone
- (781) 629-4609
- NPI assigned
- Jan 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Powers
- Title
- Owner/Operator
- Phone
- (857) 251-5047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
385 Broadway Ste 203
Revere, MA 02151-3049
Mailing address
649 Broadway
Malden, MA 02148-2041
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2228193 | Power of Recovery | Certificate of waiver | Jun 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
649 Broadway
Malden, MA 02148
469 Lincoln Ave
Saugus, MA 01906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704326400000",
"number": "1932748274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 BROADWAY",
"city": "MALDEN",
"state": "MA",
"postal_code": "021482041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 BROADWAY STE 203",
"city": "REVERE",
"state": "MA",
"postal_code": "021513049",
"telephone_number": "781-629-4609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POWER OF RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-03",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A",
"authorized_official_last_name": "POWERS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "857-251-5047"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.