RECOVERY CENTERS OF AMERICA AT VENTNOR NJ MEDICAID ONLY


Address: 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406
Phone: 6109942968

RECOVERY CENTERS OF AMERICA AT VENTNOR NJ MEDICAID ONLY (NPI# 1154858520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154858520
Entity Type Organization
Organization Name RECOVERY CENTERS OF AMERICA AT VENTNOR NJ MEDICAID ONLY
Other Organization Name RECOVERY CENTERS OF AMERICA AT VENTNOR
Practice Address 2701 Renaissance Boulevard
4th Floor
King of Prussia
PA 19406
Mailing Address 6601 Ventnor Avenue
Ventnor Professional Building T Suite
Ventnor City
NJ 08406
Practice Telephone 6109942968
Mailing Telephone 6109942968
Enumeration Date 2017-05-17
Last Update Date 2019-02-04
NPI Deactivation Date 04/24/2018
NPI Reactivation Date 2019-02-04
Authorized Official Name MARK GALLIHUE (CORPORATE DIRECTOR, PATIENT ACCOUNT)
Authorized Official Telephone 6109942968
Is Organization Subpart Y
Parent Organization Name TRC-OC LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Recovery Centers of America at Ventnor Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 6109942968

Office Location

Street Address 2701 RENAISSANCE BOULEVARD
4TH FLOOR
City KING OF PRUSSIA
State PA
Zip Code 19406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366979494 Recovery Centers of America At Manahawkin Nj Medicaid Only Clinic/Center 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 2017-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346887296 Optical World Nj Corp Optometrist Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 2019-12-10
1194213694 Compass Recovery Center Clinic/Center 901 E 8th Ave Ste 203, King of Prussia, PA 19406 2018-04-30
1568913192 Luke Gillespie Counselor 680 American Avenue, Suite 320, King of Prussia, PA 19406 2016-10-19
1932652906 Bayada Home Health Care, Inc. Home Health 700 American Ave Ste 103, King of Prussia, PA 19406 2016-07-26
1912357690 Barsha Moktan Dentist 357 S Gulph Road, #110, King of Prussia, PA 19406 2016-06-14
1588057756 National Counseling Group, Inc Counselor 1150 1st Avenue, #501, King of Prussia, PA 19406 2015-03-12
1184020174 Dr. Jeanvickey Lusk, M.d. & Co. P.C. Family Medicine 315 Gypsy Lane, King of Prussia, PA 19406 2014-11-18
1912303033 Masuma Bahora Obstetrics & Gynecology 210 Mall Blvd Ste 220, King of Prussia, PA 19406 2014-11-17
1942612486 Delphi Medical Group Durable Medical Equipment & Medical Supplies 1600 First Avenue Ste 400, King of Prussia, PA 19406 2014-06-02
1306268347 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 160 N Gulph Rd # 2007a, King of Prussia, PA 19406 2014-01-10
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992232029 Recovery Centers of America At Voorhees Nj Medicaid Only Clinic/Center 2701 Renaissance Blvd Fl 4, King of Prussia, PA 19406-2781 2017-05-19
1366979494 Recovery Centers of America At Manahawkin Nj Medicaid Only Clinic/Center 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 2017-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841816204 Source Behavioral Health Services, LLC Clinic/Center 301 Oxford Valley Rd Ste 1302, Yardley, PA 19067-7706 2020-06-22
1780218594 Davis Archway Centers for Addiction Treatment, Inc. Clinic/Center 114 Courson Ln, Emlenton, PA 16373-2502 2020-03-02
1871125625 New Hope Community Medical Care LLC Clinic/Center 2602 W 9th St Ste 101, Chester, PA 19013-2089 2020-02-10
1528699931 Caron Outpatient Services, LLC Clinic/Center 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 2020-02-04
1124658331 White Oak Wellness Clinic/Center 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 2020-01-16
1518517283 Peace Valley Recovery Clinic/Center 5230 York Rd, Doylestown, PA 18902-1736 2019-09-16
1841853256 Trinity Recovery LLP Clinic/Center 1311 E State St, Sharon, PA 16146-3246 2019-04-22
1861950909 Advanced Treatment Centers LLC Clinic/Center 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 2019-03-07
1467918722 Melissa Francomacaro Clinic/Center 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 2019-02-12
1205390325 Pyramid Health Care Inc. Clinic/Center 100 Upper Demunds Rd, Dallas, PA 18612-8811 2019-01-23
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Competitor

Search similar providers

City KING OF PRUSSIA
Zip Code 19406

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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