SOUTHERN OHIO PREMIER RECOVERY LLC NPI 1235803115

NPI Information

NPI: 1235803115
Provider Name: SOUTHERN OHIO PREMIER RECOVERY, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
6431 STATE ROUTE 104
MCDERMOTT, OH
ZIP 45652
Phone: (740) 981-6987
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SOUTHERN OHIO PREMIER RECOVERY, LLC is a substance abuse rehabilitation facility in Mcdermott, 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. SOUTHERN OHIO PREMIER RECOVERY, LLC NPI is 1235803115. The provider is registered as an organization entity type.

The provider's business location address is:

6431 STATE ROUTE 104
MCDERMOTT, OH
ZIP 45652-943
Phone: (740) 981-6987

The provider's authorized official is Faith Ann Bivens .
The authorized official title is Owner and has the following contact phone number (740) 981-6987.

The enumeration date for this NPI number is 8/4/2021 and was last updated on 3/5/2024.

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	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
4	324500000X	Substance Abuse Rehabilitation Facility		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: 5/5/2024

NPI Synchronization or Removal

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