RECOVERY INNOVATIONS, INC (NPI# 1437554359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437554359 |
| Entity Type | Organization |
| Organization Name | RECOVERY INNOVATIONS, INC |
| Practice Address |
2150 Freeman Rd E Ste 1 Fife WA 98424-3776 |
| Mailing Address |
2701 N 16th Street Suite 316 Phoenix AZ 85006 |
| Practice Telephone | 2535842300 |
| Practice Fax Number | 2539227611 |
| Mailing Telephone | 6026501212 |
| Mailing Fax Number | 6026365283 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. THOMAS CASTELLANOS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6026364554 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9601 Steilacoom Blvd, Sw Building 27, Lakewood, WA 984987212 | 2535842300 | 2535822078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443924 | Recovery Innovations, Inc | Community/Behavioral Health | 1850 Copper Loop Bldg B, Las Cruces, NM 88005-8139 | 2020-10-06 |
| 1245853522 | Recovery Innovations, Inc | Community/Behavioral Health | 14554 Lee Rd, Chantilly, VA 20151-1775 | 2020-05-21 |
| 1497378764 | Recovery Innovations, Inc | Clinic/Center | 3455 Florida St, Baton Rouge, LA 70806-3764 | 2020-05-21 |
| 1548804776 | Recovery Innovations, Inc | Psychiatric Hospital | 11361 N 99th Ave Ste 600, Peoria, AZ 85345-5470 | 2019-10-31 |
| 1659880078 | Recovery Innovations, Inc | Clinic/Center | 4210 20th St E Ste B, Fife, WA 98424-1830 | 2017-09-28 |
| 1821526567 | Recovery Innovations, Inc | Community/Behavioral Health | 1255 W Baseline Rd Ste C108, Mesa, AZ 85202-5820 | 2017-05-25 |
| 1326494741 | Recovery Innovations, Inc | Community/Behavioral Health | 2500 North Palm Canyon, A1-a4, Palm Springs, CA 92262 | 2016-05-05 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1912381344 | Recovery Innovations, Inc | Community/Behavioral Health | 659 E Chestnut Hill Rd, Newark, DE 19713-1827 | 2015-07-15 |
| 1578940094 | Recovery Innovations, Inc | Community/Behavioral Health | 9890 County Farm Road, Bldg 2, Riverside, CA 92503 | 2015-05-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RECOVERY INNOVATIONS, INC. | 2701 N 16th St Ste 316, Phoenix, AZ 85006-1266 |
| Washington State Corporations | RECOVERY INNOVATIONS, INC. | 2701 N 16th Street, Phoenix, AZ 85006 |
| Street Address |
2150 FREEMAN RD E STE 1 |
| City | FIFE |
| State | WA |
| Zip Code | 98424-3776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020089 | Christy Shutt | Counselor | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2020-07-15 |
| 1346882271 | Lawrence Waiyaki Njau | Counselor | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-10-11 |
| 1598317836 | Maxine Harleaux | Peer Specialist | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-07-16 |
| 1861050254 | Florence Wambua | Nurse's Aide | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-05-31 |
| 1801453592 | Dan Wambugu | Registered Nurse | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-05-29 |
| 1932763851 | Jaime Lynn Cash | Registered Nurse | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-04-25 |
| 1336600873 | Ed Robinson | Counselor | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-03-27 |
| 1114487113 | Florence Kinuthia | Nurse's Aide | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-03-25 |
| 1326505587 | Rochel Borja | Peer Specialist | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-02-25 |
| 1689139107 | Lena Gutierrez | Counselor | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447265 | Rachael E Vosika | Peer Specialist | 4210 20th St E Suite B&c, Fife, WA 98424 | 2018-11-27 |
| 1477023026 | Julie Ann Sawyer | Registered Nurse | 2150 Freeman Road East Ste 1, Fife, WA 98424 | 2018-11-27 |
| 1831668409 | Dorothy J Pierce | Counselor | 4210 20th St E Ste C, Fife, WA 98424 | 2018-11-13 |
| 1730606328 | Caitlin Anne Gallup | Specialist/Technologist | 4703 Pacific Hwy E Ste B, Fife, WA 98424 | 2017-08-24 |
| 1497121420 | Lane Whitaker Valentine | Massage Therapist | 6523 20th St E #4, Fife, WA 98424 | 2015-08-13 |
| 1609250646 | Enna Alexandra Codekas | Speech-Language Pathologist | 535 Dock Street, Suite 104, Tacoma, WA 98424 | 2015-07-18 |
| 1457608002 | Timothy Edward Day | Pharmacist | 522 64th Avenue Ct E, Fife, WA 98424 | 2012-08-13 |
| 1861768400 | Ryan Milo Glover | Pharmacist | 3700 Pacific Highway East, Suite 100, Fife, WA 98424 | 2012-03-28 |
| 1962794719 | Hongbunareth Hirata | Massage Therapist | 6329 Discovery St E, Fife, WA 98424 | 2011-05-12 |
| 1811155930 | Mvp Physical Therapy, Inc. | Massage Therapist | 502 54th Ave. E., Fife, WA 98424 | 2008-05-27 |
| Find all providers in zip 98424 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
| 1790298347 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2017-11-06 |
| 1699223826 | Center for Discovery | Psychiatric Residential Treatment Facility | 2202 S Cedar St Ste 175, Tacoma, WA 98405-2318 | 2016-09-16 |
| 1730532136 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 3285 Ferguson St Sw, Tumwater, WA 98512-6192 | 2016-07-20 |
| 1922489392 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 7511 176th St Sw, Edmonds, WA 98026-5529 | 2015-06-11 |
| 1659758639 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2015-04-29 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1760796130 | Project Patch | Psychiatric Residential Treatment Facility | 2404 E Mill Plain Blvd Ste 4, Vancouver, WA 98661-4334 | 2010-07-28 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1679613905 | Tamarack Center | Psychiatric Residential Treatment Facility | 2901 W Fort George Wright Dr, Spokane, WA 99224-5202 | 2007-02-07 |
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| 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.