MINDFUL BEHAVIORAL CARE LLC (NPI# 1992312896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992312896 |
Entity Type | Organization |
Organization Name | MINDFUL BEHAVIORAL CARE LLC |
Practice Address |
600 Regina Pkwy Toledo OH 43612-3328 |
Mailing Address |
5442 Yermo Dr Toledo OH 43613-2128 |
Practice Telephone | 4192901495 |
Mailing Telephone | 4192901495 |
Enumeration Date | 2020-09-25 |
Last Update Date | 2020-09-25 |
Authorized Official Name | MISS VICTORIA SANDOVAL (OWNER) |
Authorized Official Telephone | 4192901495 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | Agencies | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
600 REGINA PKWY |
City | TOLEDO |
State | OH |
Zip Code | 43612-3328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295296481 | Alyssa Ellis | Registered Nurse | 3821 Revere Drive, Toledo, OH 43612 | 2019-03-29 |
1235603838 | Kimberly R Lockhart | Counselor | 1701 W. Sylvania Ave., Toledo, OH 43612 | 2019-01-16 |
1770054264 | Brandy Michelle Gore | Case Manager/Care Coordinator | 1711 Sylvania Ave, Toledo, OH 43612 | 2018-12-10 |
1457868135 | Gwendolyn Rita Tucker | Technician | 206 Waggoner, Toledo, OH 43612 | 2018-01-04 |
1205359593 | Brittany Leann Davis | Licensed Practical Nurse | 738 W Poinsetta, Toledo, OH 43612 | 2017-07-19 |
1619406261 | Sarah Jean Lawrence | Technician | 3814 Berkeley Dr, Toledo, OH 43612 | 2017-06-07 |
1497298145 | Cathy Hebert | Home Health Aide | 4144 Caroline Ave, Toledo, OH 43612 | 2016-11-29 |
1740572122 | Robert Edward Dorrell | Pharmacist | 1012 W. Sylvania Ave, Toledo, OH 43612 | 2011-05-04 |
1053611525 | Gensis | Skilled Nursing Facility | 330 West Crawford Ave, Toledo, OH 43612 | 2010-10-29 |
1821206665 | Best At Home Healthcare Services, LLC | Home Health | 33 New Towne Sq Dr., Suite B, Toledo, OH 43612 | 2007-05-17 |
Find all providers in zip 43612 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
1184243727 | Young Men and Women for Change | Community/Behavioral Health | 2467 1/2 Nebraska Ave, Toledo, OH 43607-3531 | 2020-04-14 |
1962038844 | Lance Larkin | Community/Behavioral Health | 5151 Monroe St Ste 204, Toledo, OH 43623-3467 | 2020-03-23 |
1013543040 | Revitalized Behavioral Healthcare, LLC | Community/Behavioral Health | 5577 Airport Hwy Ste 102, Toledo, OH 43615-7364 | 2020-03-22 |
1043846165 | Sound Mind Behavioral Wellness, LLC | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200-b, Toledo, OH 43614-1559 | 2020-03-20 |
1982259693 | Family Guidance Centers of Ohio, Inc. | Community/Behavioral Health | 4354 Monroe St, Toledo, OH 43606-1959 | 2019-08-08 |
1285199521 | Positive Living Solutions, LLC | Community/Behavioral Health | 1011 Monroe St, Toledo, OH 43604-5912 | 2019-01-31 |
1811468085 | Sasia N King | Community/Behavioral Health | 830 N. Summit Suite #2, Toledo, OH 43604-1884 | 2018-12-16 |
1669943981 | St. Paul's Community Center | Community/Behavioral Health | 230 13th St, Toledo, OH 43604-5443 | 2018-12-14 |
1386126456 | Changing Lives | Community/Behavioral Health | 316 N Michigan St Ste 435, Toledo, OH 43604-5666 | 2018-09-05 |
Find all providers in TOLEDO |
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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.