CARDINAL RECOVERY, LLC (NPI# 1215482229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215482229 |
| Entity Type | Organization |
| Organization Name | CARDINAL RECOVERY, LLC |
| Practice Address |
1134 Jackson Pike Gallipolis OH 45631-2600 |
| Practice Telephone | 7404417954 |
| Mailing Telephone | 7404417954 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Authorized Official Name | LORI A ELLIS (CLINICAL DIRECTOR/SUPERVISOR) |
| Authorized Official Telephone | 7404417954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 981153-CS | OH | Residential Treatment Facilities |
| Street Address |
1134 JACKSON PIKE |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161089 | Joshua Siders | Counselor | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2020-10-16 |
| 1316554090 | Michael Putney | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2020-09-28 |
| 1922624915 | Valerie Potts | Counselor | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2020-06-25 |
| 1063047785 | Elvira Rose Johnson | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2020-03-04 |
| 1396375176 | Amanda Michelle Elkins | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2020-01-22 |
| 1831739663 | Natasha Marie Smith | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2020-01-09 |
| 1003450156 | Rebecca Lynn Thompson | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2019-11-01 |
| 1871142729 | Jonathan Tyler Houck | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2019-09-04 |
| 1235794066 | Kelly J Morgan | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2019-05-07 |
| 1063077394 | Dustin Lee Mccombs | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270128 | Findlay Center for Recovery | Substance Abuse Rehabilitation Facility | 1800 Manor Hill Rd, Findlay, OH 45840-6612 | 2020-09-18 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1467060764 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Ln, Montgomery, OH 45242-5119 | 2020-07-22 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1114535978 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 4365 Classic Dr, Blue Ash, OH 45241-2205 | 2020-07-17 |
| 1740800077 | Cairn Recovery Resources LLC | Substance Abuse Rehabilitation Facility | 217 Muskingum Ave, Zanesville, OH 43701-4957 | 2020-04-16 |
| 1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
| 1104450063 | Quest Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 401 W High St Ste 9, Mount Vernon, OH 43050-2346 | 2020-02-28 |
| 1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
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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.