NPIMap

Organization Active NPI

Aware Recovery Care of Virginia, PC

  • Substance Abuse Rehabilitation Facility
  • Glen Allen, VA
National Provider Identifier
1942964770
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AWARE RECOVERY CARE OF VIRGINIA, PC
Practice address
4405 Cox Rd
Glen Allen, VA 23060-3395
Phone
(203) 779-5799
NPI assigned
Oct 27, 2021
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Donna Bence
Title
VP Revenue Cycle Management
Phone
(203) 721-6522

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

4405 Cox Rd
Glen Allen, VA 23060-3395

Mailing address

35 Thorpe Ave Ste 104
Wallingford, CT 06492-1948
Phone (203) 779-5799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260220001958 VA Part B Supplier - Clinic/Group Practice 2062993777 Receives reassigned benefits from 10 practitioners
Practice locations: Glen Allen, VA

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
49D2245783Aware Recovery Care of Virginia LLC4405 Cox Rd Suite 150, Glen Allen, VA 23060Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Locations

4405 Cox Rd
Glen Allen, VA 23060

4405 Cox Rd
Ste 150
Glen Allen, VA 23060
Phone (804) 208-0475

Practitioners & affiliated clinicians

Practitioners 10

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": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1942964770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 THORPE AVE STE 104",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921948",
            "telephone_number": "203-779-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603395",
            "telephone_number": "203-779-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARE RECOVERY CARE OF VIRGINIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "BENCE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VP REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "203-721-6522"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.