MIDWEST DETOX CENTER LLC (NPI# 1033608195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033608195 |
| Entity Type | Organization |
| Organization Name | MIDWEST DETOX CENTER LLC |
| Other Organization Name | OHIO DETOX CENTER |
| Practice Address |
1757 Indian Wood Cir Maumee OH 43537-4009 |
| Practice Telephone | 8668060308 |
| Mailing Telephone | 8662030308 |
| Mailing Fax Number | 8556866641 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | MR. MICHAEL ABRIAN SILBERMAN (CEO) |
| Authorized Official Telephone | 4108078471 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDWEST DETOX CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 01-7617 | OH | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Ohio Detox Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1760 Manley Rd Bldg 1760, Maumee, OH 435379400 | 8336410572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003337734 | Midwest Detox Center LLC | Substance Abuse Rehabilitation Facility | 1757 Indian Wood Cir Ste A, Maumee, OH 43537-4009 | 2017-07-03 |
| 1356903058 | Midwest Detox Center LLC | Clinic/Center | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2019-07-02 |
| Street Address |
1757 INDIAN WOOD CIR |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950354 | Alaina Walker | Licensed Practical Nurse | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-10-21 |
| 1649887159 | Lori Dee Mallernee | Counselor | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-09-29 |
| 1699381368 | Sara Bailey | Registered Nurse | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-09-18 |
| 1649886326 | Allison Parsons | Counselor | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-09-18 |
| 1295340180 | Kaley Hall | Counselor | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-09-09 |
| 1588278501 | Adam Foltz | Counselor | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-09-08 |
| 1639780034 | Denise Alexander | Counselor | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-08-11 |
| 1295345098 | Andrea Linares | Counselor | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-08-06 |
| 1265042188 | Brittney Kurfess | Licensed Practical Nurse | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-08-05 |
| 1245849355 | Alexandria Amborski | Counselor | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884709 | Mary Walasinski | Behavior Technician | 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 | 2019-08-01 |
| 1912483314 | Integrated Restorative Solutions LLC | Pain Medicine | 2718 River Rd, Maumee, OH 43537 | 2018-07-18 |
| 1326533373 | Michelle Lei Sandwisch | Nurse Practitioner | 7140 Maumee Western Road, Maumee, OH 43537 | 2018-06-22 |
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1841792306 | Stephen Flory | Specialist/Technologist | 2584 S Detroit Ave, Maumee, OH 43537 | 2018-03-01 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1083070288 | Friends Who Care | Home Health | 2749 Pine Trace Dr, Maumee, OH 43537 | 2016-01-05 |
| 1386025203 | Unique Health Care Solutions, LLC | Home Health | 3430 Briarfield Blvd, Maumee, OH 43537 | 2015-06-16 |
| 1104239698 | Jill Saul | Dietitian, Registered | 5871 Monclova Rd., Maumee, OH 43537 | 2014-06-03 |
| 1922438910 | Kristen Junga | Counselor | 1627 Henthorne Dr Ste E, Maumee, OH 43537 | 2013-11-12 |
| Find all providers in zip 43537 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003337734 | Midwest Detox Center LLC | Substance Abuse Rehabilitation Facility | 1757 Indian Wood Cir Ste A, Maumee, OH 43537-4009 | 2017-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270128 | Findlay Center for Recovery | Substance Abuse Rehabilitation Facility | 1800 Manor Hill Rd, Findlay, OH 45840-6612 | 2020-09-18 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1467060764 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Ln, Montgomery, OH 45242-5119 | 2020-07-22 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1114535978 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 4365 Classic Dr, Blue Ash, OH 45241-2205 | 2020-07-17 |
| 1740800077 | Cairn Recovery Resources LLC | Substance Abuse Rehabilitation Facility | 217 Muskingum Ave, Zanesville, OH 43701-4957 | 2020-04-16 |
| 1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
| 1104450063 | Quest Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 401 W High St Ste 9, Mount Vernon, OH 43050-2346 | 2020-02-28 |
| 1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
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| 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.