RECOVERY SERVICES OF NORTHWEST OHIO INC NPI 1720046451

NPI Information

NPI: 1720046451
Provider Name: RECOVERY SERVICES OF NORTHWEST OHIO, INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 36D2065114

Address:
511 PERRY ST
DEFIANCE, OH
ZIP 43512
Phone: (419) 782-9920
Get Directions

RECOVERY SERVICES OF NORTHWEST OHIO, INC is a clinic center in Defiance, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RECOVERY SERVICES OF NORTHWEST OHIO, INC NPI is 1720046451. The provider is registered as an organization entity type.

The provider's business location address is:

511 PERRY ST
DEFIANCE, OH
ZIP 43512-123
Phone: (419) 782-9920
Fax: (419) 784-2523

The provider's authorized official is Ruth Peck .
The authorized official title is Ceo and has the following contact phone number (419) 782-9920.

The CLIA number assigned to this NPI record is 36D2065114 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 2/29/2016.

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	261Q00000X	Clinic/Center		3069,6686	OHIO	No
2	251300000X	Local Education Agency (LEA)		1140,1975,1297,0989,	OHIO	No
3	251300000X	Local Education Agency (LEA)		10998,3069,6686		No
4	251B00000X	Case Management		1140,1975,1297,0989	OHIO	No
5	251B00000X	Case Management		3069,6686	OHIO	No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	1140,1975,1297,0989	OHIO	No
7	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	3069,6686	OHIO	No
8	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	1140,1975,1297,0989	OHIO	No
9	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	3069,6686	OHIO	No
10	261Q00000X	Clinic/Center		1140,1975,1297,0989	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	2846906	MEDICAID	OHIO
2	1140	OTHER	OHIO	MACSIS UPI

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: 4/28/2024

NPI Synchronization or Removal

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