CALVARY BEHAVIORAL HEALTH OF OHIO, LLC


Address: 11974 State Route 42, Suite 240, Sharonville, OH 45242
Phone: 5139671460

CALVARY BEHAVIORAL HEALTH OF OHIO, LLC (NPI# 1487251088) 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) 1487251088
Entity Type Organization
Organization Name CALVARY BEHAVIORAL HEALTH OF OHIO, LLC
Practice Address 11974 State Route 42
Suite 240
Sharonville
OH 45242
Mailing Address 6722 State Route 132
Goshen
OH 45122-9249
Practice Telephone 5139671460
Mailing Telephone 5135757879
Enumeration Date 2020-10-06
Last Update Date 2020-10-06
Authorized Official Name MELINDA ADAMS (OWNER)
Authorized Official Telephone 5139671460
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 11974 STATE ROUTE 42
SUITE 240
City SHARONVILLE
State OH
Zip Code 45242

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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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1043863384 Team Recovery Ohio, LLC Clinic/Center 1618 W Sylvania Ave, Toledo, OH 43612-1589 2019-07-16
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Competitor

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City SHARONVILLE
Zip Code 45242

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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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