CHOICE RECOVERY HOUSE – NPI #1306539226
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CHOICE RECOVERY HOUSE is a provider located in NEWARK, DE. NPPES has assigned the NPI number 1306539226 to CHOICE RECOVERY HOUSE on May 26, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Jul 03, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHOICE RECOVERY HOUSE below.

NPI Profile for
CHOICE RECOVERY HOUSE

NPI Number
1306539226
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHOICE RECOVERY HOUSE
Primary location
100 BIDDLE AVE STE 101
NEWARK, DE 19702-3982
Phone: (410) 505-8605 Fax: (240) 770-0436
1 Other location(s):
3917 W Forest Park Ave
Baltimore, MD 21207-7404
Phone: (410) 505-8605
Fax: (240) 770-0436
Mailing address
9123 OLD ANNAPOLIS RD STE 203&204
COLUMBIA, MD 21045-1953
Phone: (410) 505-8605 Fax: (240) 770-0436
Organization Subpart
No
Authorized Official
TRISTAN SHOCKLEY
CEO/OWNER
Phone: (202) 489-1125
Updated
Certification Date
Jul 03, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
261QM1300X
- Clinic/Center / Multi-Specialty
2083A0300X
- Preventive Medicine / Addiction Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.