RCA OUTPATIENT SERVICES LLC (NPI# 1477087401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477087401 |
Entity Type | Organization |
Organization Name | RCA OUTPATIENT SERVICES LLC |
Other Organization Name | RCA AT DELAWARE |
Practice Address |
Recovery Centers of America At Delaware 2383 Limestone Road Wilmington DE 19808 |
Mailing Address |
2701 Renaissance Blvd 4th Floor King of Prussia PA 19406-2781 |
Practice Telephone | 6109942968 |
Mailing Telephone | 6109942968 |
Enumeration Date | 2017-04-17 |
Last Update Date | 2018-09-13 |
Authorized Official Name | MARK GALLIHUE (CORPORATE DIRECTOR, PATIENT ACCOUNT) |
Authorized Official Telephone | 6109942968 |
Is Organization Subpart | Y |
Parent Organization Name | TRC-OC LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
RCA AT DELAWARE | Doing Business As Name - Organization |
Recovery Centers of America at Delaware | Other Name - Individual/Organization |
Street Address |
RECOVERY CENTERS OF AMERICA AT DELAWARE 2383 LIMESTONE ROAD |
City | WILMINGTON |
State | DE |
Zip Code | 19808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
1891174918 | Stephanie Wharton | Counselor | 5149 W Woodmill Dr Ste 20, Wilmington, DE 19808 | 2015-05-21 |
Find all providers in zip 19808 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427954 | Ch Mh Services (de), LLC | Clinic/Center | 2417 Lancaster Ave Unit 110, Wilmington, DE 19805-3736 | 2020-11-06 |
1144830738 | Aviva Mental Health Services Inc | Clinic/Center | 219 W 9th St, Wilmington, DE 19801-1619 | 2020-08-07 |
1548760960 | Phoenix Center for Health and Wellness LLC | Clinic/Center | 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 | 2018-02-13 |
1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
1487004651 | Joseph Luther Sampson Jr. | Clinic/Center | 2705 Shandy Ln, Wilmington, NC 28409-2042 | 2016-06-17 |
1508225905 | Connections Csp Brandywine Street Women's Residential Treatment Progra | Clinic/Center | 1120 Brandywine St, Wilmington, DE 19802-5219 | 2016-02-15 |
1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
1609291806 | Advanced Behavioral Medicine, LLC | Clinic/Center | 2711 Centerville Rd, Suite 400, Wilmington, DE 19808-1660 | 2014-02-25 |
1073768123 | Gaudenzia Inc | Clinic/Center | 604 W 10th St, Wilmington, DE 19801-1424 | 2008-11-17 |
1902825169 | Wilmington Treatment Center, Inc. | Clinic/Center | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2006-07-19 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 19808 |
Please comment or provide details below to improve the information on RCA OUTPATIENT SERVICES LLC.
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.