MIDWEST DETOX CENTER LLC


Address: 1757 Indian Wood Cir Ste A, Maumee, OH 43537-4009
Phone: 8662030308

MIDWEST DETOX CENTER LLC (NPI# 1003337734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003337734
Entity Type Organization
Organization Name MIDWEST DETOX CENTER LLC
Practice Address 1757 Indian Wood Cir Ste A
Maumee
OH 43537-4009
Mailing Address 6494 La Gorce Ln
Lake Worth
FL 33463-7379
Practice Telephone 8662030308
Mailing Telephone 8662030308
Enumeration Date 2017-07-03
Last Update Date 2020-10-29
Authorized Official Name MR. MICHAEL SILBERMAN (CEO)
Authorized Official Telephone 4108078471
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033608195 Midwest Detox Center LLC Substance Abuse Rehabilitation Facility 1757 Indian Wood Cir, Maumee, OH 43537-4009 2018-05-04
1356903058 Midwest Detox Center LLC Clinic/Center 1757 Indian Wood Cir, Maumee, OH 43537-4009 2019-07-02

Office Location

Street Address 1757 INDIAN WOOD CIR STE A
City MAUMEE
State OH
Zip Code 43537-4009

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245884709 Mary Walasinski Behavior Technician 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 2019-08-01
1912483314 Integrated Restorative Solutions LLC Pain Medicine 2718 River Rd, Maumee, OH 43537 2018-07-18
1326533373 Michelle Lei Sandwisch Nurse Practitioner 7140 Maumee Western Road, Maumee, OH 43537 2018-06-22
1669978201 Bradley D Walker Case Manager/Care Coordinator 1600 Michigan Ave, Maumee, OH 43537 2018-04-03
1841792306 Stephen Flory Specialist/Technologist 2584 S Detroit Ave, Maumee, OH 43537 2018-03-01
1851841787 Michelle Laver Social Worker 7320 Sh 108, Wauseon, OH 43537 2016-10-04
1083070288 Friends Who Care Home Health 2749 Pine Trace Dr, Maumee, OH 43537 2016-01-05
1386025203 Unique Health Care Solutions, LLC Home Health 3430 Briarfield Blvd, Maumee, OH 43537 2015-06-16
1104239698 Jill Saul Dietitian, Registered 5871 Monclova Rd., Maumee, OH 43537 2014-06-03
1922438910 Kristen Junga Counselor 1627 Henthorne Dr Ste E, Maumee, OH 43537 2013-11-12
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1649894262 Workit Health (oh) LLC Clinic/Center 5836 Del Ln, Waterville, OH 43566-9484 2020-05-29
1205455508 Sunrise Treatment Center - Piqua Clinic/Center 1130 Garbry Rd, Piqua, OH 45356-8217 2020-04-16
1043863384 Team Recovery Ohio, LLC Clinic/Center 1618 W Sylvania Ave, Toledo, OH 43612-1589 2019-07-16
1568926376 Square One Health LLC Clinic/Center 620 W 44th St, Ashtabula, OH 44004-6812 2019-01-25
1700357829 Lovel Henderson Jr Clinic/Center 6600 Lexington Ave, Cleveland, OH 44103 2018-12-16
1669942934 Baymark Health Services of Ohio Clinic/Center 833 E Broad St Unit 1, Elyria, OH 44035-6557 2018-11-29
1841760113 Baymark Health Services of Ohio Clinic/Center 36001 Euclid Ave Ste B1, Willoughby, OH 44094-4643 2018-11-29
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Competitor

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City MAUMEE
Zip Code 43537

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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