SAFE HARBOR RECOVERY, LLC (NPI# 1437771870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437771870 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR RECOVERY, LLC |
| Practice Address |
1212 Tod Pl Nw Warren OH 44485-2475 |
| Mailing Address |
Po Box 1212 Warren OH 44482-1212 |
| Practice Telephone | 3304696822 |
| Mailing Telephone | 3304696822 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | LUKE CHARLES METCALF (ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 3307208690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1212 TOD PL NW |
| City | WARREN |
| State | OH |
| Zip Code | 44485-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598273963 | Luke Charles Metcalf | Counselor | 1212 Tod Pl Nw, Warren, OH 44485-2475 | 2018-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1730576315 | Jeanetta Chatmon | Community Health Worker | 1447 Kensington St. Nw, Warren, OH 44485 | 2015-04-21 |
| 1003201351 | Laneka Oliver | Home Health | 1655 Denison Ave, Warren, OH 44485 | 2015-04-03 |
| 1437401155 | Rhoda Darlene Killingworth | Nurse's Aide | 1510 Arthur Dr Nw, Warren, OH 44485 | 2012-10-04 |
| 1477844033 | Lakshmi Padmanabhan | Pharmacist | 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 | 2011-04-29 |
| 1225332422 | Dashah Brendae Adams | Licensed Practical Nurse | 3270 Dunstan Dr. Nw, Warren, OH 44485 | 2011-01-03 |
| 1982854188 | Deanna Lynne Nussle | Registered Nurse | 1480 Tod Ave, Warren, OH 44485 | 2008-09-24 |
| 1003093170 | Kila E Mcghee | Home Health | 1108 Tod Ave Nw, Warren, OH 44485 | 2008-01-30 |
| 1639372816 | Stella L Reese | Home Health Aide | 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 | 2007-06-06 |
| 1417016239 | Laura Marie Buck | Counselor | Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 | 2006-12-07 |
| Find all providers in zip 44485 | ||||
| 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 |
|---|---|---|---|---|
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1376805515 | 10th District Substance Abuse Treatment Center | Substance Abuse Rehabilitation Facility | 412 York St, Warren, AR 71671-3218 | 2012-06-13 |
| 1750998035 | Robert Bennett | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-30 |
| 1073120671 | Sheena Ahmed | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-28 |
| 1073124368 | Justin Wilcox | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-08-11 |
| 1497372809 | Justin Dietrich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-07-01 |
| 1447877147 | Open Water Counseling and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2020-06-29 |
| 1013533173 | Diane Smolak | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-06-24 |
| 1487270872 | Amber Peterson | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-22 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on SAFE HARBOR RECOVERY, LLC.
| 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.