REVITALIZED BEHAVIORAL HEALTHCARE, LLC


Address: 5577 Airport Hwy Ste 102, Toledo, OH 43615-7364
Phone: 4192155831

REVITALIZED BEHAVIORAL HEALTHCARE, LLC (NPI# 1013543040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013543040
Entity Type Organization
Organization Name REVITALIZED BEHAVIORAL HEALTHCARE, LLC
Practice Address 5577 Airport Hwy Ste 102
Toledo
OH 43615-7364
Practice Telephone 4192155831
Mailing Telephone 4192141770
Enumeration Date 2020-03-22
Last Update Date 2020-03-22
Authorized Official Name SAMANTHA S. NANCE (OWNER)
Authorized Official Telephone 4193465554
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104453117 Revitalized Behavioral Healthcare, LLC Community/Behavioral Health 5577 Airport Hwy Ste 102, Toledo, OH 43615-7364 2020-03-27

Office Location

Street Address 5577 AIRPORT HWY STE 102
City TOLEDO
State OH
Zip Code 43615-7364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104453117 Revitalized Behavioral Healthcare, LLC Community/Behavioral Health 5577 Airport Hwy Ste 102, Toledo, OH 43615-7364 2020-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518507219 Malcolm Banks Case Manager/Care Coordinator 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 2020-01-10
1730670076 Ericka Catchings Counselor 1124 Wenz Rd, Toledo, OH 43615 2018-05-22
1124516174 Ashton Kovic Case Manager/Care Coordinator 9715 Dorr St., Toledo, OH 43615 2018-04-25
1154863777 Sheron Jenece Garmon Occupational Therapist 5963 Luddington Dr, Toledo, OH 43615 2016-11-14
1558813394 Alexander Jacoby Specialist/Technologist 1001 N Warpole St, Toledo, OH 43615 2016-10-27
1790233674 Donalisa June Mcnichols Counselor 115 S. Reynolds Rd., Toledo, OH 43615 2016-09-20
1790130326 Eagle Medical Transportation LLC Non-emergency Medical Transport (VAN) 3409 Holland Sylvania Rd #3, Toledo, OH 43615 2016-05-02
1073972519 Rhonda Stanley Registered Nurse 115 S Reynolds Rd Ste C, Toledo, OH 43615 2016-02-12
1043635626 Ciera Larae Wilcox Home Health Aide 360. S Reynolds Rd, Toledo, OH 43615 2014-02-19
1336560317 Ariel Monique Greenleaf Registered Nurse 4661 Ventura Dr, Toledo, OH 43615 2013-12-18
Find all providers in zip 43615

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649878885 Transformative Solutions LLC Community/Behavioral Health 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 2020-10-10
1184243727 Young Men and Women for Change Community/Behavioral Health 2467 1/2 Nebraska Ave, Toledo, OH 43607-3531 2020-04-14
1962038844 Lance Larkin Community/Behavioral Health 5151 Monroe St Ste 204, Toledo, OH 43623-3467 2020-03-23
1043846165 Sound Mind Behavioral Wellness, LLC Community/Behavioral Health 5726 Southwyck Blvd Ste 200-b, Toledo, OH 43614-1559 2020-03-20
1982259693 Family Guidance Centers of Ohio, Inc. Community/Behavioral Health 4354 Monroe St, Toledo, OH 43606-1959 2019-08-08
1285199521 Positive Living Solutions, LLC Community/Behavioral Health 1011 Monroe St, Toledo, OH 43604-5912 2019-01-31
1811468085 Sasia N King Community/Behavioral Health 830 N. Summit Suite #2, Toledo, OH 43604-1884 2018-12-16
1669943981 St. Paul's Community Center Community/Behavioral Health 230 13th St, Toledo, OH 43604-5443 2018-12-14
1386126456 Changing Lives Community/Behavioral Health 316 N Michigan St Ste 435, Toledo, OH 43604-5666 2018-09-05
1376047712 Above & Beyond Care Behavioral Health Community/Behavioral Health 701 Jefferson Ave Ste 202, Toledo, OH 43604-6957 2018-03-21
Find all providers in TOLEDO

Competitor

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City TOLEDO
Zip Code 43615

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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