Aurora Recovery Services, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

OS012298 Issued in PA

Legal business name

AURORA RECOVERY SERVICES, LLC

Practice address

993 Brodhead Rd Ste 201
Moon TWP, PA 15108

Phone

(412) 996-9100

NPI assigned

Jul 11, 2018

Last updated

Jul 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raquel B Garcia

Title

Program Sponor

Phone

(412) 996-9100

Specialties & licenses 7

Addresses

Other names 1

• Aurora Family Services Other name

Locations

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1992281125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 BRODHEAD RD STE 201",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151082331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 BRODHEAD RD STE 201",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-996-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROGRAM SPONOR",
        "authorized_official_telephone_number": "412-996-9100"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS012298",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "OS012298",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "OS012298",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PA",
            "license": "OS012298",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "OS012298",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "PA",
            "license": "OS012298",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "OS012298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Family Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Aurora Health Services, LLC
• Sarah Beth Bartko, LPC
• Brenna Bish, OD
• Shannon Elizabeth Booth, PT, DPT
• Bryson Bresnahan, PH.D.
• Jeffrey Frank Cappuccio, D.C.

• Multi-Specialty Clinic/Center in Moon TWP, PA
• Providers in Moon TWP, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.