ACCESS OHIO LLC NPI 1194179150

NPI Information

  • NPI: 1194179150
  • Provider Name: ACCESS OHIO, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: ACCESS OHIO
  • CLIA Number: 36D2103924
  • Address: 2611 WAYNE AVE BLDG 64
    DAYTON, OH
    ZIP 45420
  • Phone: (614) 256-7811

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NPI Details

ACCESS OHIO, LLC is a substance abuse rehabilitation facility in Dayton, OH. The provider is 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. ACCESS OHIO, LLC NPI is 1194179150. The provider is registered as an organization entity type.
The provider Is Doing Business As Access Ohio.

The provider's business location address is:

2611 WAYNE AVE BLDG 64
DAYTON, OH
ZIP 45420-833
Phone: (614) 256-7811

The provider's authorized official is John Johnson .
The authorized official title is Ceo and has the following contact phone number (937) 228-0579.

The CLIA number assigned to this NPI record is 36D2103924 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2016 and was last updated on 7/20/2023.

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
1251S00000XCommunity/Behavioral Health13909OHIONo
2324500000XSubstance Abuse Rehabilitation Facility13908OHIOYes

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
12892919MEDICAIDOHIO
20166703MEDICAIDOHIO

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: 11/21/2025

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