1. Home
  2. Directory
  3. New Jersey
  4. Mays Landing
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

RECOVERY CENTERS OF AMERICA AT LIGHTHOUSE
NPI 1184225245
Substance Abuse Rehabilitation Facility in Mays Landing, NJ

Active since November 05, 2020CLIA 31D0915523 · Waiver
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330(610) 994-2968 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Mar 4, 2024, Feb 7, 2023 and 2 more (5 updates tracked since 2020).

About Recovery Centers Of America At Lighthouse NPPES

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

RECOVERY CENTERS OF AMERICA AT LIGHTHOUSE (NPI 1184225245) is a healthcare organization registered as a substance abuse rehabilitation facility in Mays Landing, New Jersey and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through May 29, 2028 and lists Kevin Mcclure, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184225245
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business Name5034 ATLANTIC AVENUE OPCO, LLC
Location Address5034 ATLANTIC AVEMays Landing, NJ 08330-2022
Mailing Address2201 Renaissance Blvd Fl 3King Of Prussia, PA 19406-2709 · (610) 994-2900
Phone(610) 994-2968
Organization SubpartNo
Authorized OfficialKevin McclureCfo · (610) 994-2900
Enumeration DateNovember 5, 2020
Last NPPES UpdateDecember 18, 20245 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1184225245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5034 ATLANTIC AVE, Mays Landing, NJ 08330
Open in Google Maps ↗

Other Names 1

Doing Business AsRecovery Centers Of America At Lighthouse

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 31D0915523

Recovery Centers Of America At Lighthouse · Mays Landing, NJ
Active · expires May 29, 2028
CLIA Number31D0915523
Laboratory TypeOther
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorDr. Caroline Mcwilliams
Laboratory Phone(610) 994-2928
Laboratory LocationRecovery Centers Of America At Lighthouse5034 Atlantic Avenue, Mays Landing, NJ 08330
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

PATRICIA HENCHY RN
Registered Nurse
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (609) 837-4600
MRS. KRISTY MACLAUGHLAN
Licensed Practical Nurse
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (609) 837-4600
NADYA HAMDAN
Counselor
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (862) 285-8150
KRISTIN GRAHAM
Licensed Practical Nurse
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (609) 837-4719
AMBER ENGELHARDT CADC
Counselor (Addiction (Substance Use Disorder))
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (609) 837-4600
JOSEPH P TEDESCO LPC
Counselor (Professional)
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (855) 740-1921
JESSICA LYNN VASSALLO LPN
Licensed Practical Nurse
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (609) 782-0005
SHERRY BETH CAPUTO RN
Registered Nurse (Addiction (Substance Use Disorder))
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (609) 782-0005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 5034 Atlantic Avenue Opco, LLC's NPI number?

The NPI number for 5034 Atlantic Avenue Opco, LLC is 1184225245. It was assigned to this organization in the NPPES registry on November 5, 2020. The provider is doing business as Recovery Centers Of America At Lighthouse.

Where is 5034 Atlantic Avenue Opco, LLC located?

5034 Atlantic Avenue Opco, LLC is located at 5034 Atlantic Ave, Mays Landing, NJ 08330. The listed phone number is (610) 994-2968.

What is 5034 Atlantic Avenue Opco, LLC's specialty?

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

Does 5034 Atlantic Avenue Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0915523) is associated with this NPI, valid through May 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 5034 Atlantic Avenue Opco, LLC was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.