HOMELAND ADDICTION TREATMENT CENTER LLC NPI 1356020515

NPI Information

NPI: 1356020515
Provider Name: HOMELAND ADDICTION TREATMENT CENTER LLC

Doing Business As: HOMELAND CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3505 E LIVINGSTON AVE STE G
COLUMBUS, OH
ZIP 43227
Phone: (614) 632-1018
Get Directions

HOMELAND ADDICTION TREATMENT CENTER LLC is a mental health (including community mental health center) clinic center in Columbus, OH. HOMELAND ADDICTION TREATMENT CENTER LLC NPI is 1356020515. The provider is registered as an organization entity type.
The provider Is Doing Business As Homeland Clinic.

The provider's business location address is:

3505 E LIVINGSTON AVE STE G
COLUMBUS, OH
ZIP 43227-252
Phone: (614) 632-1018

The provider's authorized official is Kingsley Eyong Enow .
The authorized official title is Supervisor and has the following contact phone number (614) 715-8316.

The CLIA number assigned to this NPI record is 36D2298216 - other - medication-assisted trtmt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2023 and was last updated on 4/19/2024.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »