OHIO VALLEY TEEN CHALLENGE INC (NPI# 1790278661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790278661 |
| Entity Type | Organization |
| Organization Name | OHIO VALLEY TEEN CHALLENGE INC |
| Other Organization Name | H.O.P.E. COUNSELING AND ADDICTION SERVICES |
| Practice Address |
100 Broadway Ave Youngstown OH 44505-2789 |
| Mailing Address |
1319 Florencedale Ave Youngstown OH 44505-2719 |
| Practice Telephone | 3307439030 |
| Mailing Telephone | 3307439030 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | CAROL CLEMENTE WAGNER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3307439030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| H.O.P.E. Counseling and Addiction Services | Doing Business As Name - Organization |
| Street Address |
100 BROADWAY AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44505-2789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265620702 | Vanessa Marie Jones | Counselor | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2007-10-10 |
| 1780285692 | Christine Ann Sanders | Social Worker | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2020-11-06 |
| 1164046793 | Bree Hunter | Student in an Organized Health Care Education/Training Program | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2020-05-29 |
| 1245859651 | Ciara Booth | Student in an Organized Health Care Education/Training Program | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2020-04-15 |
| 1215588611 | Todd Bonar | Behavior Technician | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2019-09-26 |
| 1083263438 | Kayla Mehle | Student in an Organized Health Care Education/Training Program | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2019-09-09 |
| 1801445556 | Kayla Sheridan | Student in an Organized Health Care Education/Training Program | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2019-09-05 |
| 1336794676 | Sophie Marino | Social Worker | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2019-08-05 |
| 1558913368 | Jason Thomas Morell | Case Manager/Care Coordinator | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2019-07-11 |
| 1366907156 | Joshua Charles Kale | Student in an Organized Health Care Education/Training Program | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
| 1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
| 1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
| 1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| Find all providers in zip 44505 | ||||
| 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 |
|---|---|---|---|---|
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1558881474 | Pamela Lynn Wargo | Substance Abuse Rehabilitation Facility | 2151 Rush Boulevard, Youngstown, OH 44507 | 2017-06-21 |
| 1104246859 | Conscious Living for Better Living | Substance Abuse Rehabilitation Facility | 3713 Castle Ct, Youngstown, OH 44511-2979 | 2014-04-21 |
| 1528074366 | Addiction Programs of Mahoning County, Inc. | Substance Abuse Rehabilitation Facility | 2516 Market St, Youngstown, OH 44507-1421 | 2006-08-01 |
| 1023084910 | Lincoln Behavioral Healthcare, LLC | Substance Abuse Rehabilitation Facility | 800 E Indianola Ave, Youngstown, OH 44502-2310 | 2006-02-28 |
| 1619582376 | Shaqualah Renee Johnson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2020-09-10 |
| 1124589759 | H O P E Counseling and Addiction Services LLC | Substance Abuse Rehabilitation Facility | 1319 Florencedale Ave, Youngstown, OH 44505-2719 | 2019-03-27 |
| 1659853612 | Youngstown Committee On Alcoholism, Inc. | Substance Abuse Rehabilitation Facility | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2018-09-05 |
| 1720595622 | Janet Rose Jackson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2018-01-02 |
| 1801324785 | Gloria Ann Wells | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2017-05-23 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44505 |
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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.