MEDICARE: ACCREDITED RECOVERY HOUSING INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1609726322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCREDITED RECOVERY HOUSING INC.

Provider Business Mailing Address
First Line	:	6728 LOOP RD STE 202
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2169
Country	:	US
Telephone Number	:	937-914-1589
Fax Number	:

Provider Business Practice Location Address
First Line	:	6728 LOOP RD STE 202
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2169
Country	:	US
Telephone Number	:	937-914-1589
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	RYAN MOORE
Credential	:
Telephone Number	:	937-414-3273

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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