TEHG LLC NPI 1326539917

NPI Information

NPI: 1326539917
Provider Name: TEHG, LLC

Doing Business As: THE ELLIS HOUSE GROUP

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
40 S 2ND ST
WATERVILLE, OH
ZIP 43566
Phone: (419) 277-9843
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TEHG, LLC is a rehabilitation and substance use disorder clinic center in Waterville, OH. TEHG, LLC NPI is 1326539917. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Ellis House Group.

The provider's business location address is:

40 S 2ND ST
WATERVILLE, OH
ZIP 43566-407
Phone: (419) 277-9843
Fax: (419) 710-8558

The provider's authorized official is Bonien Sue Rodriguez .
The authorized official title is Coo and has the following contact phone number (419) 277-9843.

The enumeration date for this NPI number is 5/20/2018 and was last updated on 5/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		H483460	OHIO	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0180404	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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