NPIMap

Organization Active NPI

Recovery Centers of America at Voorhees NJ Medicaid Only

  • Substance Use Disorder Rehabilitation Clinic/Center
  • King of Prussia, PA
National Provider Identifier
1992232029
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RECOVERY CENTERS OF AMERICA AT VOORHEES NJ MEDICAID ONLY
Practice address
2701 Renaissance Blvd FL 4
King of Prussia, PA 19406-2781
Phone
(610) 994-2968
NPI assigned
May 19, 2017
Reactivated
Feb 4, 2019
Organization subpart
Yes
Parent organization
TRC-OC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Mark Gallihue
Title
Corporate Director, Patient Account
Phone
(610) 994-2968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2701 Renaissance Blvd FL 4
King of Prussia, PA 19406-2781

Mailing address

2701 Renaissance Blvd
4TH Floor
King of Prussia, PA 19406
Phone (610) 994-2968

Other names 1

  • Recovery Centers of America at Voorhees Other name

National Provider Directory

National Provider Directory
Tax ID family
5034 Atlantic Avenue Opco LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1992232029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 RENAISSANCE BLVD",
            "address_2": "4TH FLOOR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-994-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 RENAISSANCE BLVD FL 4",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062781",
            "telephone_number": "610-994-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTERS OF AMERICA AT VOORHEES NJ MEDICAID ONLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRC-OC LLC",
        "enumeration_date": "2017-05-19",
        "last_updated": "2019-02-04",
        "deactivation_date": "2018-05-09",
        "reactivation_date": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "GALLIHUE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR, PATIENT ACCOUNT",
        "authorized_official_telephone_number": "610-994-2968"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Centers of America at Voorhees",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.