SILVER MAPLE RECOVERY LLC NPI 1124597182

NPI Information

NPI: 1124597182
Provider Name: SILVER MAPLE RECOVERY, LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
CLIA Number: 36D2160906
Address: 2101 SILVER MAPLE WAY
LORAIN, OH
ZIP 44053
Phone: (440) 830-3400

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NPI Details

SILVER MAPLE RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Lorain, OH. SILVER MAPLE RECOVERY, LLC NPI is 1124597182. The provider is registered as an organization entity type.

The provider's business location address is:

2101 SILVER MAPLE WAY
LORAIN, OH
ZIP 44053-380
Phone: (440) 830-3400
Fax: (440) 830-3416

The provider's authorized official is Sue E Wiedenmannott .
The authorized official title is Medicare Coordinator and has the following contact phone number (440) 989-5238.

The CLIA number assigned to this NPI record is 36D2160906 - other - in patient drug and alcoh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2018 and was last updated on 6/27/2023.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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: 3/30/2025

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