RECOVERY GRADS, LLC (NPI# 1750940359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750940359 |
| Entity Type | Organization |
| Organization Name | RECOVERY GRADS, LLC |
| Practice Address |
200 Boston Ave Ste 1925 Medford MA 02155-4243 |
| Mailing Address |
7997 Camino Predera Rancho Cucamonga CA 91730-1919 |
| Practice Telephone | 3105676645 |
| Mailing Telephone | 3105676645 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MR. ROBERT ERIC WEBER (COO) |
| Authorized Official Telephone | 3105676645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Haven At College | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720638836 | Recovery Grads, LLC | Substance Abuse Rehabilitation Facility | 994 Mill St, San Luis Obispo, CA 93401-2788 | 2019-09-19 |
| 1003461229 | Recovery Grads, LLC | Substance Abuse Rehabilitation Facility | 35 Mellor Ave, Catonsville, MD 21228-5106 | 2019-08-05 |
| Street Address |
200 BOSTON AVE STE 1925 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1386200327 | Addiction Campuses of Massachusetts | Clinic/Center | 2 South St Ste 370, Pittsfield, MA 01201-6372 | 2019-05-15 |
| 1215447297 | Treatment Partners of Massachusetts | Clinic/Center | 760 Main St Unit 7r, Hyannis, MA 02601-4366 | 2017-10-04 |
| 1831547199 | Northeast Addictions Treatment Center | Clinic/Center | 604 Washington Street, Quincy, MA 02169-7211 | 2016-05-27 |
| 1912390345 | Beacon Addiction Advocacy | Clinic/Center | 45 Strathmore Rd, Brighton, MA 02135-7914 | 2015-03-10 |
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| 1184759433 | Genesis Counseling Services, Inc. | Clinic/Center | 24 Union Ave Ste 11, Framingham, MA 01702-8287 | 2007-02-23 |
| 1134126865 | Bay State Community Services, Inc. | Clinic/Center | 1120 Hancock St, Quincy, MA 02169-4313 | 2005-07-07 |
| Find all providers with the same taxonomy | ||||
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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.