Recovery 180 Virginia LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RECOVERY 180 VIRGINIA LLC

Practice address

6791 James Madison Hwy
Warrenton, VA 20187-9534

Phone

(443) 289-8606

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Desiree Mountain

Title

Director of Compliance

Phone

(443) 204-5800

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Recovery 180 Virginia LLC2 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.

• Recovery 180 Virginia LLC

  • Community/Behavioral Health Agency
  • Warrenton, VA
  • NPI 1326800798
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Recovery 180 Virginia LLC

  • Community/Behavioral Health Agency
  • Warrenton, VA
  • NPI 1326800798
  NPPES parent name

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1962277640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BUSINESS PKWY S STE 1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573048",
            "telephone_number": "443-204-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6791 JAMES MADISON HWY",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201879534",
            "telephone_number": "443-289-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY 180 VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "443-204-5800"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF ACCREDITATION",
            "identifier": "378386",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE LICENSURE",
            "identifier": "8228-01-045",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ramirez
• Stephanie Scriven Ramirez
• James R Ramser, MD
• Rappahannock-Rapidan Community Services Board
• Recovery 180 Virginia LLC
• Renee Reedy, DC
• Reemerge Child Therapy
• David C Reilly, M.D.
• Stephen A Reiter, MD
• Renee Carisio-Farber, MD

• Substance Abuse Rehabilitation Facility in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Substance Abuse Rehabilitation Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.