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NPI Code Detail

MEDICARE: RECOVERY INNOVATIONS, INC

MEDICARE: RECOVERY INNOVATIONS, 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
1363LF0000XFamily Nurse Practitioner
2363A00000XPhysician Assistant
3251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679390520
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECOVERY INNOVATIONS, INC
Provider Business Mailing Address
First Line : 11361 N 99TH AVE STE 402
Second Line :
City : PEORIA
State : AZ
Zip : 85345-5459
Country : US
Telephone Number : 602-650-1212
Fax Number :
Provider Business Practice Location Address
First Line : 465 HARMON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-2405
Country : US
Telephone Number : 614-222-3737
Fax Number : 614-358-4201
Authorized Official
Title or Position : PESC
Name : PAMELA D SAULPAW
Credential :
Telephone Number : 602-650-1212
Provider Enumeration Date : 09/23/2024
Last Update Date : 01/16/2026

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Directions to “RECOVERY INNOVATIONS, INC ” Practice Location

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