CENTER FOR ADDICTION TREATMENT (NPI# 1215994249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215994249 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ADDICTION TREATMENT |
| Practice Address |
830 Ezzard Charles Dr Cincinnati OH 45214-2525 |
| Practice Telephone | 5133816672 |
| Practice Fax Number | 5133816086 |
| Mailing Telephone | 5133816672 |
| Mailing Fax Number | 5133816086 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | MR. RONALD T DERSTADT (VICE PRESIDENT-ADMINISTRATION) |
| Authorized Official Telephone | 5133816672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 01285 | OH | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992228142 | Center for Addiction Treatment | Clinic/Center | 834 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2017-07-19 |
| 1174158869 | Center for Addiction Treatment | Clinic/Center | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-03-03 |
| 1972090843 | Center for Addiction Treatment | Clinic/Center | 834 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2018-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Center for Addiction Treatment | 351 North Chaparral Way, Po Box 232, Crestone, CO 81131 |
| Street Address |
830 EZZARD CHARLES DR |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45214-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770565293 | Deborah L Frankowski | Family Medicine | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2005-11-18 |
| 1093322752 | Alexander Michael Larger | Social Worker | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-09-28 |
| 1417561440 | Jennifer M Wagers | Licensed Practical Nurse | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-09-08 |
| 1437762200 | Sarah Carolynn Adams | Social Worker | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-08-31 |
| 1790301265 | Bart Anthony Campolo | Counselor | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-06-22 |
| 1174158869 | Center for Addiction Treatment | Clinic/Center | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-03-03 |
| 1699307017 | Monique Ebony Hargrove | Licensed Practical Nurse | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-02-05 |
| 1548891328 | Deaven Alan Swickheimer | Counselor | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-01-30 |
| 1134759913 | Marcedes Turley | Licensed Practical Nurse | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-01-22 |
| 1770123119 | Daniel Cowan | Counselor | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790627 | Theodore Roosevelt Smith | Licensed Practical Nurse | 830 Ezzard Charles Drive, Cincinnati, OH 45214 | 2018-11-28 |
| 1124501671 | Sheryl Genay Ralls | Licensed Practical Nurse | 830 Ezzard Charles Dr., Cincinnati, OH 45214 | 2018-09-11 |
| 1871918425 | Angelina Mary Vitucci | Occupational Therapist | 2145 Central Parkway, Cincinnati, OH 45214 | 2014-02-19 |
| 1275708190 | Maria Bernadette Johnson | Registered Nurse | 708 Derrick Turnbow, Cincinnati, OH 45214 | 2008-04-23 |
| 1144260035 | Patti Ann Ellison | Nurse Practitioner | 1616 Harrison Ave, Adapt for Women and Pathways for Women, Cincinnati, OH 45214 | 2006-06-08 |
| 1962920660 | Functional Interplay Therapy, LLC | Clinic/Center | 2145 Central Parkway, Suite 300, Cincinnati, OH 45214 | 2017-09-01 |
| 1215482732 | Carolyn Meder | Specialist/Technologist | 1555 Central Pkwy, Mercy Health, Cincinnati, OH 45214 | 2016-08-25 |
| 1568912731 | Jraejah Warren | Dental Assistant | 5234 Woodford, New York, NY 45214-0003 | 2016-10-11 |
| 1548677164 | Tressa's Home Health Care | Home Health | 2068 Bickel Ave, Cincinnati, OH 45214-1110 | 2014-07-15 |
| 1386911527 | Orlantha Marea Shields | Licensed Practical Nurse | 2556 Sarvis Ct, Cincinnati, OH 45214-1129 | 2011-11-16 |
| Find all providers in zip 45214 | ||||
| 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 |
|---|---|---|---|---|
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1477989143 | Allen Franklin Adamore Jr. | Substance Abuse Rehabilitation Facility | 22 Burton Woods Ln, Cincinnati, OH 45229-1321 | 2013-09-25 |
| 1609041417 | River City Correctional Center | Substance Abuse Rehabilitation Facility | 3220 Colerain Ave, Cincinnati, OH 45225-1347 | 2008-04-23 |
| 1780614735 | Prospect House, Inc. | Substance Abuse Rehabilitation Facility | 682 Hawthorne Ave, Cincinnati, OH 45205-2319 | 2006-07-04 |
| 1154377612 | First Step Home, Inc. | Substance Abuse Rehabilitation Facility | 2203 Fulton Ave, Cincinnati, OH 45206-2504 | 2006-05-26 |
| 1043752058 | Joseph House | Substance Abuse Rehabilitation Facility | 1526 Republic St, Cincinnati, OH 45202-7016 | 2016-11-08 |
| 1134674450 | Joseph Stephen Lawson | Substance Abuse Rehabilitation Facility | 2605 Woodburn Ave, Cincinnati, OH 45206-1712 | 2016-08-16 |
| 1881016863 | Megan Cooperstein | Substance Abuse Rehabilitation Facility | 1616 Harrison Ave, Cincinnati, OH 45214-1402 | 2014-01-10 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45214 |
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| 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.