Provider Demographics
NPI:1902607005
Name:THE RECOVERY ROOM LLC
Entity type:Organization
Organization Name:THE RECOVERY ROOM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDWARD NIHEI
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:I
Authorized Official - Credentials:LMT
Authorized Official - Phone:808-428-7017
Mailing Address - Street 1:337 ULUNIU ST STE 202
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2508
Mailing Address - Country:US
Mailing Address - Phone:808-428-7017
Mailing Address - Fax:808-312-3265
Practice Address - Street 1:337 ULUNIU ST STE 202
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2508
Practice Address - Country:US
Practice Address - Phone:808-428-7017
Practice Address - Fax:808-312-3265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty