TRAILS REHAB LLC NPI 1487397097

NPI Information

NPI: 1487397097
Provider Name: TRAILS REHAB LLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
CLIA Number: 36D2306438
Address: 16506 FLINT RIDGE RD SE
NEWARK, OH
ZIP 43056
Phone: (866) 959-9910

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NPI Details

TRAILS REHAB LLC is a mental health (including community mental health center) clinic center in Newark, OH. TRAILS REHAB LLC NPI is 1487397097. The provider is registered as an organization entity type.

The provider's business location address is:

16506 FLINT RIDGE RD SE
NEWARK, OH
ZIP 43056-421
Phone: (866) 959-9910

The provider's authorized official is Josh Butcher .
The authorized official title is Ceo and has the following contact phone number (800) 481-8457.

The CLIA number assigned to this NPI record is 36D2306438 - other - mental health residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2022 and was last updated on 11/14/2022.

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			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 11/21/2025

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