MINERVA PARK BEHAVIORAL HEALTH (NPI# 1790325561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790325561 |
| Entity Type | Organization |
| Organization Name | MINERVA PARK BEHAVIORAL HEALTH |
| Practice Address |
5460 Cleveland Ave Columbus OH 43231-4005 |
| Practice Telephone | 6148882233 |
| Practice Fax Number | 6148888414 |
| Mailing Telephone | 6148882233 |
| Mailing Fax Number | 6148888414 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | MRS. SUZANNE COLEMAN TOLBERT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6145780331 |
| 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 |
5460 CLEVELAND AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43231-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124281498 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2008-07-08 |
| 1508475971 | Suzanne Lynn Colemantolbert | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-07-30 |
| 1407465263 | Richard Lamar Steele | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-07-28 |
| 1174132062 | Jessica Anne Jennings | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-07-27 |
| 1073134292 | Taiesha Raquel Black | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-04-28 |
| 1376162230 | Terence Hudson | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-04-10 |
| 1447889654 | Panola Russell | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-04-08 |
| 1134753684 | Shantelle Nichole Seward | Licensed Practical Nurse | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-02-24 |
| 1093347064 | New Season Counseling Center LLC | Substance Abuse Rehabilitation Facility | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-02-07 |
| 1255993770 | Sam Aubrey Finch | Counselor | 5460 Cleveland Ave, Columbus, OH 43231 | 2019-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1487147450 | Kelley Penny | Counselor | 5925 Cleveland Ave., Suite B, Columbus, OH 43231 | 2018-06-13 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| 1184113961 | Leslie Clark-felder | Community/Behavioral Health | 2525 Tiller Lane Ste110, Columbus, OH 43231 | 2018-05-07 |
| 1619466893 | Michael Henry II | Community/Behavioral Health | 2525 Tiller Lane Ste 110, Columbus, OH 43231 | 2018-05-03 |
| 1578051983 | Rhonda Clark | Community/Behavioral Health | 2525 Tiller Lane Lane Ste 110, Columbus, OH 43231 | 2018-05-01 |
| 1053819003 | Best Sunshine Transportation | Non-emergency Medical Transport (VAN) | 3434 Bufford Ct, Columbus, OH 43231 | 2018-01-24 |
| 1598275927 | Katherine Elaine Prater | Counselor | 5925 Cleveland Ave Ste B, Columbus, OH 43231 | 2017-10-12 |
| 1386164259 | Sento None Jah | Licensed Practical Nurse | 3088 Prosperity Lane, Columbus, OH 43231 | 2017-06-22 |
| 1528596749 | Yolanda Lawrence | Licensed Practical Nurse | 2916 Kilbourne Ave, Columbus, OH 43231 | 2017-06-01 |
| Find all providers in zip 43231 | ||||
| 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 |
|---|---|---|---|---|
| 1891332946 | Kav Health Group LLC | Substance Abuse Rehabilitation Facility | 6161 Busch Blvd Ste 190, Columbus, OH 43229-2510 | 2019-12-09 |
| 1073041869 | A New Beginning Counseling, LLC | Substance Abuse Rehabilitation Facility | 700 Bryden Rd Ste 135, Columbus, OH 43215-4839 | 2017-05-24 |
| 1144763012 | Dca Enterprise | Substance Abuse Rehabilitation Facility | 2700 East Dublin Granville Road, Suite 230, Columbus, OH 43231 | 2016-11-28 |
| 1386042471 | Recovery House, Inc. | Substance Abuse Rehabilitation Facility | 770 Golding Road, Columbus, MS 39704-2590 | 2014-12-05 |
| 1124461538 | Christian Hands LLC | Substance Abuse Rehabilitation Facility | 924 Linwood Ave, Columbus, OH 43206-1621 | 2013-04-16 |
| 1639292568 | The Neighborhood House, Inc. | Substance Abuse Rehabilitation Facility | 1000 Atcheson St, Columbus, OH 43203-1353 | 2007-04-07 |
| 1326196700 | Addiction & Mental Health Services Inc | Substance Abuse Rehabilitation Facility | 860 Brookstone Centre Pkwy, Suite A, Columbus, GA 31904-3076 | 2007-01-08 |
| 1508927989 | House of Hope for Alcoholics, Inc. | Substance Abuse Rehabilitation Facility | 1320 Parsons Ave, Columbus, OH 43206-3642 | 2006-12-12 |
| 1912961996 | Diversified Community Services, Inc. | Substance Abuse Rehabilitation Facility | 1651 E Main St, Columbus, OH 43205-2118 | 2006-04-14 |
| 1932727419 | Odyssey Medical Associates LLC | Substance Abuse Rehabilitation Facility | 2525 Oakstone Dr Ste B, Columbus, OH 43231-8626 | 2020-07-10 |
| Find all providers in COLUMBUS | ||||
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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.