RIDGELINE RECOVERY LLC
NPI 1255099495
Clinic/Center - Rehabilitation, Substance Use Disorder in Columbus, OH

Active since December 06, 2021CLIA 36D2302655 · Waiver
491 GEORGESVILLE RD, COLUMBUS, OH 43228(614) 618-5000 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2023, Oct 2, 2023, Dec 6, 2021 (3 updates tracked since 2021).

About Ridgeline Recovery Llc NPPES

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

RIDGELINE RECOVERY LLC (NPI 1255099495) is a healthcare organization registered as a rehabilitation, substance use disorder in Columbus, Ohio and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through April 11, 2028, maintains a secondary practice location in West Jefferson, and lists Andy Danec, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255099495
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameRIDGELINE RECOVERY LLC
Location Address491 GEORGESVILLE RDColumbus, OH 43228-2420
Mailing Address491 Georgesville RdColumbus, OH 43228-2420 · (614) 618-5000
Organization SubpartNo
Authorized OfficialAndy DanecCeo · (614) 209-4046
Enumeration DateDecember 6, 2021
Last NPPES UpdateOctober 18, 20233 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1255099495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedFamily MedicineTaxonomy 207Q00000X
491 GEORGESVILLE RD, Columbus, OH 43228

Secondary Practice Location 1

Location 190 E Main StWest Jefferson, OH 43162-1206 · Phone (614) 955-8770

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ridgeline Recovery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20211217002197Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ridgeline Recovery LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1235837899
3219 SULLIVANT AVE
Columbus, OH 43204
(614) 655-8956
✔ PECOS1.5 mi
Nurse Practitioner
NPI 1700265782
4660 ROBERTS RD
Columbus, OH 43228
(513) 834-7063
✔ PECOS✔ Accepts Medicare4.3 mi
Emergency Medicine
NPI 1255370714
4770 INDIANOLA AVE STE 107
Columbus, OH 43214
(614) 371-2303
✔ PECOS✔ Accepts Medicare10 mi
Clinical Social Worker
NPI 1467758284
975 S SUNBURY RD
Westerville, OH 43081
(614) 865-0513
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1841434453
221 SCHOOL ST
Bellefontaine, OH 43311
(800) 427-1902
✔ PECOS46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 36D2302655

Ridgeline Recovery LLC · Columbus, OH
Active · expires Apr 11, 2028
CLIA Number36D2302655
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorAndrew R. Damec
Laboratory Phone(614) 618-5000
Laboratory LocationRidgeline Recovery LLC491 Georgesville Rd, Columbus, OH 43228
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ridgeline Recovery LLC's NPI number?

The NPI number for Ridgeline Recovery LLC is 1255099495. It was assigned to this organization in the NPPES registry on December 6, 2021.

Where is Ridgeline Recovery LLC located?

Ridgeline Recovery LLC is located at 491 Georgesville Rd, Columbus, OH 43228. The listed phone number is (614) 618-5000.

What is Ridgeline Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Ridgeline Recovery LLC enrolled in Medicare?

Yes. Ridgeline Recovery LLC is registered in the Medicare PECOS enrollment system.

When is Ridgeline Recovery LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ridgeline Recovery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Ridgeline Recovery LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Clinical Social Worker (1) and Emergency Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ridgeline Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2302655) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridgeline Recovery LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Ridgeline Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ridgeline Recovery LLC was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.