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

Q: What is Recovery Centers Of America At Greenville LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since May 18, 2023CLIA 42D2283463 · Waiver

47 FISHERMAN LN, GREENVILLE, SC 29615(855) 390-6568 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2024, Mar 4, 2024, May 18, 2023 (3 updates tracked since 2023).

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About Recovery Centers Of America At Greenville Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RECOVERY CENTERS OF AMERICA AT GREENVILLE LLC (NPI 1053002204) is a healthcare organization registered as a substance abuse rehabilitation facility in Greenville, South Carolina and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Sergio Cruz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053002204

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameRECOVERY CENTERS OF AMERICA AT GREENVILLE LLC

Location Address47 FISHERMAN LNGreenville, SC 29615-5013

Mailing Address2201 Renaissance Blvd Fl 3King Of Prussia, PA 19406-2709 · (610) 908-5782

Phone(855) 390-6568

Organization SubpartNo

Authorized OfficialSergio CruzCfo · (610) 427-9434

Enumeration DateMay 18, 2023

Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1053002204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

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.

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

47 FISHERMAN LN, Greenville, SC 29615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2283463

Recovery Centers Of America At Greenville · Greenville, SC

Active · expires Jun 7, 2027

CLIA Number42D2283463

Laboratory TypeSubstance Use Disorder Fa

Certificate Effective DateJune 8, 2025

Certificate Expiration DateJune 7, 2027

Laboratory DirectorDr. Jeffrey Harris

Laboratory Phone(855) 390-6568

Laboratory LocationRecovery Centers Of America At Greenville47 Fisherman Lane, Greenville, SC 29615

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEJANDRO HURTADO III RN

Registered Nurse