PROSPECT HOUSE, INC. (NPI# 1780614735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780614735 |
| Entity Type | Organization |
| Organization Name | PROSPECT HOUSE, INC. |
| Practice Address |
682 Hawthorne Ave Cincinnati OH 45205-2319 |
| Practice Telephone | 5139211613 |
| Practice Fax Number | 5139214244 |
| Mailing Telephone | 5139211613 |
| Mailing Fax Number | 5139214244 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID F LOGAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5139211613 |
| Authorized Official Credential | L.I.C.D.C., N.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1270 | OH | Residential Treatment Facilities |
| Street Address |
682 HAWTHORNE AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45205-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019941 | Emma Kleiner | Counselor | 682 Hawthorne Ave, Cincinnati, OH 45205-2319 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366083669 | Tangela Faulkner | Home Health Aide | 345 Crestline Ave, Cincinnati, OH 45205 | 2019-10-08 |
| 1447723317 | Dimitrius M Wilcox | Licensed Practical Nurse | Dimitrius Wilcox, 805 Woodlawn Ave Fl #2, Cincinnati, OH 45205 | 2019-01-03 |
| 1487165320 | Marnequca Mccollum | Adult Companion | 1211 Purcell Ave, Cincinnati, OH 45205 | 2017-10-18 |
| 1669844825 | Sherry Steele | Home Health Aide | 75o Grand Ave, Apt 511, Cincinnati, OH 45205 | 2015-10-28 |
| 1841671104 | Antonette Nicole Sellers | Nurse's Aide | 3424 Price Ave, Cincinnati, OH 45205 | 2015-06-12 |
| 1053692798 | Joann Marie Howland | Registered Nurse | 550 Enright Avenue, Cincinnati, OH 45205 | 2011-09-08 |
| 1366632556 | Alice Jean Rich | Licensed Practical Nurse | 3610 West 8th Street, Homecare Symone Huckaby, Cincinnati, OH 45205 | 2007-07-25 |
| 1578639746 | Patricia A Huston | Social Worker | 284 Elberon Ave, Cincinnati, OH 45205 | 2006-11-28 |
| 1124534854 | Rebecca Bushman | Social Worker | 3730 Glenway Ave, Cincinnati, OH 45205 | 2017-12-18 |
| 1255987921 | Care Partners of Cincinnati Home Care LLC | Home Health | 1712 Gellenbeck St, Cincinnati, OH 45205-1006 | 2019-08-17 |
| Find all providers in zip 45205 | ||||
| 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 |
| 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 |
| 1932469269 | Talbert House, Inc | Substance Abuse Rehabilitation Facility | 2600 Victory Pkwy, Cincinnati, OH 45206-1711 | 2012-05-21 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45205 |
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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.