YOUNGSTOWN COMMITTEE ON ALCOHOLISM (NPI# 1033111406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033111406 |
| Entity Type | Organization |
| Organization Name | YOUNGSTOWN COMMITTEE ON ALCOHOLISM |
| Other Organization Name | NEIL KENNEDY RECOVERY CENTERS |
| Practice Address |
2151 Rush Blvd Youngstown OH 44507-1535 |
| Mailing Address |
311 Rouser Rd Moon Township PA 15108-6801 |
| Practice Telephone | 3307441181 |
| Practice Fax Number | 3307402849 |
| Mailing Telephone | 3307441181 |
| Mailing Fax Number | 3307402849 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | MR. PAUL BACHARACH (PRESIDENT/CEO) |
| Authorized Official Telephone | 4126048900 |
| Is Organization Subpart | Y |
| Parent Organization Name | YOUNGSTOWN COMMITTEE ON ALCOHOLISM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
01365 | OH | Ambulatory Health Care Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 01365 | OH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2877507 | 05 |
| Other Name | Type Code |
|---|---|
| Neil Kennedy Recovery Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474037 | Youngstown Committee On Alcoholism | Clinic/Center | 5211 Mahoning Ave Ste 370, Austintown, OH 44515-1853 | 2005-08-15 |
| 1306296934 | Youngstown Committee On Alcoholism | Community/Behavioral Health | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2016-06-14 |
| 1558363929 | Youngstown Committee On Alcoholism | Clinic/Center | 160 Clifton Dr Ne, Warren, OH 44484-1802 | 2005-08-15 |
| Street Address |
2151 RUSH BLVD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44507-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582376 | Shaqualah Renee Johnson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2020-09-10 |
| 1972115012 | Sara Beth Phlieger | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2020-08-19 |
| 1154946465 | Candace Janae Bryant | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2020-06-11 |
| 1649814336 | Keiasia Love | Registered Nurse | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-11-05 |
| 1831732643 | Chaunice Taylor | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-10-24 |
| 1376185603 | Steven Morales | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-10-08 |
| 1285283069 | Erica Rybak | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-09-05 |
| 1053966697 | Stacey Fleming | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-08-08 |
| 1750934642 | Melissa Boyle | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-07-19 |
| 1770148330 | Ryan J Hatcher | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406451 | Ashley L Moody | Home Health Aide | 3330 Hillman St, Youngstown, OH 44507 | 2018-08-08 |
| 1184142432 | Felicia Briggs | Counselor | 2151 Rush Blvd., Youngstown, OH 44507 | 2017-09-07 |
| 1558881474 | Pamela Lynn Wargo | Substance Abuse Rehabilitation Facility | 2151 Rush Boulevard, Youngstown, OH 44507 | 2017-06-21 |
| 1235677592 | Jocelyn Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 182 Midlothian Ave, Youngstown, OH 44507 | 2017-02-07 |
| 1306218771 | Horizon Science Academy Youngstown | Local Education Agency (LEA) | 3403 Southern Blvd, Youngstown, OH 44507 | 2015-10-26 |
| 1780890400 | Sandra Kaye Stroughter | Home Health Aide | 3531 Hillman St., Apt 221, Youngstown, OH 44507 | 2007-05-16 |
| 1215158217 | Jessie Martin | Licensed Practical Nurse | 29 E. Philadelphia, Youngstown, OH 44507 | 2007-05-01 |
| 1003847930 | Daniel Raymond Armeni | Dentist | 242 E Midlothian Blvd, Youngstown, OH 44507 | 2006-07-06 |
| 1740251131 | Rebecca S Hughes | Registered Nurse | 77 E Midlothian Blvd, Youngstown, OH 44507 | 2006-02-01 |
| 1184288292 | Safe Ride A&s Transportation | Non-emergency Medical Transport (VAN) | 3330 Hillman St, Youngstown, OH 44507 | 2019-04-24 |
| Find all providers in zip 44507 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1558881474 | Pamela Lynn Wargo | Substance Abuse Rehabilitation Facility | 2151 Rush Boulevard, Youngstown, OH 44507 | 2017-06-21 |
| 1104246859 | Conscious Living for Better Living | Substance Abuse Rehabilitation Facility | 3713 Castle Ct, Youngstown, OH 44511-2979 | 2014-04-21 |
| 1528074366 | Addiction Programs of Mahoning County, Inc. | Substance Abuse Rehabilitation Facility | 2516 Market St, Youngstown, OH 44507-1421 | 2006-08-01 |
| 1023084910 | Lincoln Behavioral Healthcare, LLC | Substance Abuse Rehabilitation Facility | 800 E Indianola Ave, Youngstown, OH 44502-2310 | 2006-02-28 |
| 1619582376 | Shaqualah Renee Johnson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2020-09-10 |
| 1124589759 | H O P E Counseling and Addiction Services LLC | Substance Abuse Rehabilitation Facility | 1319 Florencedale Ave, Youngstown, OH 44505-2719 | 2019-03-27 |
| 1659853612 | Youngstown Committee On Alcoholism, Inc. | Substance Abuse Rehabilitation Facility | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2018-09-05 |
| 1720595622 | Janet Rose Jackson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2018-01-02 |
| 1801324785 | Gloria Ann Wells | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2017-05-23 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44507 |
Please comment or provide details below to improve the information on YOUNGSTOWN COMMITTEE ON ALCOHOLISM.
| 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.