RECOVERY INNOVATIONS, INC (NPI# 1801451216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801451216 |
| Entity Type | Organization |
| Organization Name | RECOVERY INNOVATIONS, INC |
| Practice Address |
1724 Roxie Ave Fayetteville NC 28304-1623 |
| Mailing Address |
2701 N 16th St Ste 316 Phoenix AZ 85006-1266 |
| Practice Telephone | 6026501212 |
| Practice Fax Number | 6026501616 |
| Mailing Telephone | 6026501212 |
| Mailing Fax Number | 6026501616 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | THOMAS CASTELLANOS (CHIEF FINANICAL OFFICER) |
| Authorized Official Telephone | 6026364554 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| RI International | Doing Business As Name - Organization |
| 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 |
1724 ROXIE AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694481 | Aaron Avrum Brodsky | Psychologist | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2006-01-26 |
| 1063041259 | Leon Kentrelle Williams | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2020-04-08 |
| 1720441165 | Richard Watson | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2016-04-02 |
| 1336558501 | Oretha Harris | Counselor | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-08-12 |
| 1851702856 | Eddrena C Wiggins | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-05-13 |
| 1124443163 | Diana Wilma Avila | Counselor | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-02-27 |
| 1740537638 | Elizabeth Rae Bakisae Albright | Physician Assistant | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2012-08-09 |
| 1720384423 | Cumberland Co. Hospital System Inc | Psychiatric Unit | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2011-01-28 |
| 1750412516 | County of Cumberland | Psychiatry & Neurology | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2007-03-07 |
| 1811036205 | Anthony Wayne Cannon | Psychologist | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528696796 | Faith Springs Eternal (fase), Pllc | Community/Behavioral Health | 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 | 2020-04-01 |
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1124591094 | Changing Places Therapeutic Center, Company | Community/Behavioral Health | 1044 Bragg Blvd Ste B, Fayetteville, NC 28301-4512 | 2019-01-03 |
| 1538632518 | Benevolent Counseling, Pllc | Community/Behavioral Health | 2929 Breezewood Ave Ste 203, Fayetteville, NC 28303-5357 | 2019-01-02 |
| 1386128031 | Alexander Youth Network | Community/Behavioral Health | 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 | 2018-09-19 |
| 1811497639 | Alexander Youth Network | Community/Behavioral Health | 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 | 2018-02-19 |
| 1629578851 | Jeanette Bostick | Community/Behavioral Health | 1628 Turkey Run, Fayetteville, NC 28312-7643 | 2018-02-14 |
| 1942718325 | A Mother's Pursuit, LLC | Community/Behavioral Health | 511 N Reilly Rd Ste A, Fayetteville, NC 28303-2440 | 2018-01-18 |
| 1992213771 | Deborah A Atkinson Phd Pllc | Community/Behavioral Health | 501 Executive Pl Ste B, Fayetteville, NC 28305-5391 | 2018-01-16 |
| 1841739455 | Aci Support Specialists | Community/Behavioral Health | 414 Snowhill Rd, Fayetteville, NC 28306-9073 | 2017-02-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.