| Recovery Innovations, Inc | |
|
700 Main St Ellendale DE 19941-2066 | |
| (302) 424-5660 | |
| (302) 424-5661 |
| Full Name | Recovery Innovations, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 700 Main St, Ellendale, Delaware |
| Authorized Official Name and Position | Pamela D Saulpaw (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6028987254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Innovations, Inc 11361 N 99th Ave Ste 402 Peoria AZ 85345-5459 Ph: (602) 650-1212 | Recovery Innovations, Inc 700 Main St Ellendale DE 19941-2066 Ph: (302) 424-5660 |
| NPI Number | 1588915698 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 10/31/2025 |
| Certification Date | 10/31/2025 |
| Medicare PECOS PAC ID | 1456500628 |
|---|---|
| Medicare Enrollment ID | O20180131000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588915698 | NPI | - | NPPES |
| 200144593 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Kimberly E Gerardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215967278 PECOS PAC ID: 8325011547 Enrollment ID: I20040817000046 |
| Provider Name | Barbara Jeanne Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265691265 PECOS PAC ID: 2860551561 Enrollment ID: I20081111000062 |
| Provider Name | Jaimie Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952679540 PECOS PAC ID: 1759544463 Enrollment ID: I20130720000037 |
| Provider Name | Kondal Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20250326004102 |
| Provider Name | Rosaline H During |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699476119 PECOS PAC ID: 4880059823 Enrollment ID: I20250603001469 |
Apple Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13347 Oakley Rd, Ellendale, DE 19941 Phone: 302-542-4509 Fax: 302-337-8417 |