BELLEFAIRE JCB NPI 1376802249

NPI Information

NPI: 1376802249
Provider Name: BELLEFAIRE JCB
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
347 MIDWAY BLVD
ELYRIA, OH
ZIP 44035
Phone: (440) 324-5701
Get Directions

BELLEFAIRE JCB is a substance abuse treatment and children substance abuse rehabilitation facility in Elyria, 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. BELLEFAIRE JCB NPI is 1376802249. The provider is registered as an organization entity type.

The provider's business location address is:

347 MIDWAY BLVD
ELYRIA, OH
ZIP 44035-006
Phone: (440) 324-5701
Fax: (440) 324-9978

The provider's authorized official is Thomas J Browne .
The authorized official title is Cfo and has the following contact phone number (216) 320-8221.

The enumeration date for this NPI number is 5/11/2012 and was last updated on 5/17/2012.

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	0009	OHIO	No
2	324500000X	Substance Abuse Rehabilitation Facility		0009	OHIO	No
3	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	0009	OHIO	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	02477	MEDICAID	OHIO
2	10415	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: 11/14/2023

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 »