1063462109 NPI number — PICKAWAY AREA RECOVERY SERVICES

Table of content: ROGHAYEH ESNA ASHARI LAHRODI (NPI 1811502750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063462109 NPI number — PICKAWAY AREA RECOVERY SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PICKAWAY AREA RECOVERY SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063462109
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 HIGHLAND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CIRCLEVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43113-1208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-477-1745
Provider Business Mailing Address Fax Number:
740-477-2779

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 HIGHLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CIRCLEVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43113-1208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-477-1745
Provider Business Practice Location Address Fax Number:
740-477-2779
Provider Enumeration Date:
05/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SHIPE
Authorized Official First Name:
AARON
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
740-477-1745

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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