NPIMap

Organization Active NPI

Recrea Health and Wellness LLC

  • Medical Specialty Clinic/Center
  • Medina, OH
National Provider Identifier
1982223657
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
RECREA HEALTH AND WELLNESS LLC
Practice address
2425 Medina Rd Ste 101
Medina, OH 44256-5381
Phone
(330) 952-0391
NPI assigned
Apr 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Angela Jayes
Title
Owner
Phone
(330) 802-3868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2425 Medina Rd Ste 101
Medina, OH 44256-5381

Mailing address

3637 Medina Rd Ste 85
Medina, OH 44256-8153
Phone (330) 952-0391

Other names 1

  • The Dahlia Center, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Medina Direct

National Provider Directory

National Provider Directory

Locations

2425 Medina Rd
Ste 101
Medina, OH 44256
Phone (216) 401-5689

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1982223657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 85",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568153",
            "telephone_number": "330-952-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 MEDINA RD STE 101",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565381",
            "telephone_number": "330-952-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECREA HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "JAYES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-802-3868"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Medina",
            "affiliation": "N",
            "endpointDescription": "never",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medina",
            "address_1": "3637 Medina Rd Ste 85",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442568153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Dahlia Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.