YOUNGSTOWN COMMITTEE ON ALCOHOLISM (NPI# 1669474037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669474037 |
| Entity Type | Organization |
| Organization Name | YOUNGSTOWN COMMITTEE ON ALCOHOLISM |
| Other Organization Name | NEIL KENNEDY RECOVERY CENTERS |
| Practice Address |
5211 Mahoning Ave Ste 370 Austintown OH 44515-1853 |
| Mailing Address |
5211 Mahoning Ave Suite 310 Austintown OH 44515-1853 |
| Practice Telephone | 3307924724 |
| Practice Fax Number | 3307921848 |
| Mailing Telephone | 3307924724 |
| Mailing Fax Number | 3307921848 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
07155 | OH | Ambulatory Health Care 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 |
|---|---|---|---|---|
| 1033111406 | Youngstown Committee On Alcoholism | Clinic/Center | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 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 |
5211 MAHONING AVE STE 370 |
| City | AUSTINTOWN |
| State | OH |
| Zip Code | 44515-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970473 | Logan Marie Gregg | Counselor | 5211 Mahoning Ave Ste 370, Austintown, OH 44515-1853 | 2019-09-09 |
| 1912483108 | William Odem | Case Manager/Care Coordinator | 5211 Mahoning Ave Ste 370, Austintown, OH 44515-1853 | 2018-07-11 |
| 1083123285 | Donald John Santarelli | Peer Specialist | 5211 Mahoning Ave Ste 370, Austintown, OH 44515-1853 | 2017-09-20 |
| 1124488275 | Brandon D Miller | Counselor | 5211 Mahoning Ave Ste 370, Austintown, OH 44515-1853 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435369 | Sunrise Treatment Center, LLC | Clinic/Center | 1718 Central Pkwy, Cincinnati, OH 45214-2355 | 2020-10-20 |
| 1922607266 | Full Circle Recovery of Circleville | Clinic/Center | 2065 Stoneridge Dr, Circleville, OH 43113-8956 | 2020-10-19 |
| 1689271827 | Chillicothe Acute Care Clinic, Inc. | Clinic/Center | 5555 Airport Hwy Ste 132, Toledo, OH 43615-7380 | 2020-10-01 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | AUSTINTOWN |
| Zip Code | 44515 |
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.