NPIMap

Organization Active NPI

Recovery Center of Pennslyvania, LLC

  • Primary Care Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1992468169
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
RECOVERY CENTER OF PENNSLYVANIA, LLC
Practice address
7345 Far Hills Ave
Dayton, OH 45459-4472
Phone
(704) 901-4916
Fax
(800) 291-7239
NPI assigned
Oct 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Dr. Warrick Tremayne Stewart
Title
Ceo
Phone
(704) 901-4916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

7345 Far Hills Ave
Dayton, OH 45459-4472

Mailing address

7345 Far Hills Ave
Dayton, OH 45459-4472
Phone (704) 901-4916

Other names 1

  • Recovery Center of Ohio, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Recovery Center of Maryland27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1992468169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594472",
            "telephone_number": "704-901-4916",
            "fax_number": "800-291-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594472",
            "telephone_number": "704-901-4916",
            "fax_number": "800-291-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTER OF PENNSLYVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "WARRICK",
        "authorized_official_middle_name": "TREMAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-901-4916",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Center of Ohio, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.