RECOVERY CENTERS OF AMERICA AT GREENVILLE LLC
NPI 1053002204
Substance Abuse Rehabilitation Facility in Greenville, SC

NPI Status: Active since May 18, 2023

Contact Information

47 FISHERMAN LN
GREENVILLE, SC
ZIP 29615
Phone: (855) 390-6568

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 42D2283463
  • CLIA Cert. Type: Other - SUBSTANCE USE DISORDER FA
  • CLIA Exp. Date: 06-07-2027

About RECOVERY CENTERS OF AMERICA AT GREENVILLE LLC

This page provides the complete NPI Profile along with additional information for Recovery Centers Of America At Greenville Llc, a provider established in Greenville, South Carolina operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1053002204 assigned on May 2023. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Sergio Cruz (Cfo)

NPI
1053002204
Provider Name
RECOVERY CENTERS OF AMERICA AT GREENVILLE LLC
Entity Type
Organization
Location Address
47 FISHERMAN LN GREENVILLE, SC 29615
Location Phone
(855) 390-6568
Mailing Address
2201 RENAISSANCE BLVD FL 3 KING OF PRUSSIA, PA 19406
Mailing Phone
(610) 908-5782
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2023
Last Update Date
12-18-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Beaufort Bronze 1 - HMO
  • Blue Beaufort Bronze 2 - HMO
  • Blue Beaufort Gold 1 - HMO
  • Blue Beaufort Silver 1 - HMO
  • Blue Beaufort Silver 2 - HMO
  • Blue Beaufort Silver 2 + Adult Vision - HMO
  • Blue Beaufort Standard Expanded Bronze - HMO
  • Blue Beaufort Standard Gold - HMO
  • Blue Beaufort Standard Silver - HMO
  • Blue Congaree Bronze 1 - HMO
  • Blue Congaree Bronze 2 - HMO
  • Blue Congaree Gold 1 - HMO
  • Blue Congaree Silver 1 - HMO
  • Blue Congaree Silver 2 - HMO
  • Blue Congaree Silver 2 + Adult Vision - HMO
  • Blue Congaree Standard Expanded Bronze - HMO
  • Blue Congaree Standard Gold - HMO
  • Blue Congaree Standard Silver - HMO
  • Blue Cooper Bronze 1 - HMO
  • Blue Cooper Bronze 2 - HMO
  • InHealth Basic 1 - HMO
  • InHealth Basic 1 + Adult Vision - HMO
  • InHealth Basic 2 - HMO
  • InHealth Basic Plus Standard - HMO
  • InHealth Basic Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SERGIO CRUZ

Authorized Official Title
CFO
Authorized Official Phone
(610) 427-9434

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2283463
Facility Type
Other - SUBSTANCE USE DISORDER FA
Certificate Effective Date
June 08, 2025
Certificate Expiration Date
June 07, 2027
Laboratory Director
DR. JEFFREY HARRIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Recovery Centers Of America At Greenville Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053002204, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 36. The final step is to find the difference between that total and the next multiple of ten (40 - 36 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 0 → 0 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 0 + 0 + 4 + 2 + 0 + 24 = 36

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 36 is 40. The difference is the calculated check digit.

40 - 36 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1053002204.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse
47 FISHERMAN LN
GREENVILLE, SC 29615
Licensed Practical Nurse
47 FISHERMAN LN
GREENVILLE, SC 29615
Registered Nurse (Addiction (Substance Use Disorder))
47 FISHERMAN LN
GREENVILLE, SC 29615
Registered Nurse (Addiction (Substance Use Disorder))
47 FISHERMAN LN
GREENVILLE, SC 29615
Registered Nurse (Addiction (Substance Use Disorder))
47 FISHERMAN LN
GREENVILLE, SC 29615
Licensed Practical Nurse
47 FISHERMAN LN
GREENVILLE, SC 29615
Registered Nurse (Addiction (Substance Use Disorder))
47 FISHERMAN LN
GREENVILLE, SC 29615
Registered Nurse
47 FISHERMAN LN
GREENVILLE, SC 29615
Registered Nurse
47 FISHERMAN LN
GREENVILLE, SC 29615
Social Worker
47 FISHERMAN LN
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
47 FISHERMAN LN
GREENVILLE, SC 29615
Social Worker (Clinical)
47 FISHERMAN LN
GREENVILLE, SC 29615
Substance Abuse Rehabilitation Facility
47 FISHERMAN LN
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
47 FISHERMAN LN
GREENVILLE, SC 29615
Registered Nurse
47 FISHERMAN LN
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
47 FISHERMAN LN
GREENVILLE, SC 29615
Registered Nurse
47 FISHERMAN LN
GREENVILLE, SC 29615
Counselor (Mental Health)
47 FISHERMAN LN
GREENVILLE, SC 29615
Registered Nurse (Addiction (Substance Use Disorder))
47 FISHERMAN LN
GREENVILLE, SC 29615
Licensed Practical Nurse
47 FISHERMAN LN
GREENVILLE, SC 29615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053002204, enumerated as an "organization" on May 18, 2023.

The provider is located at 47 FISHERMAN LN GREENVILLE, SC 29615 and the phone number is (855) 390-6568.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and InStil. Please consult your insurance carrier or call the provider to verify.