PORTAGE COUNTY CHILDREN'S SERVICE CENTER (NPI# 1164062899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164062899 |
| Entity Type | Organization |
| Organization Name | PORTAGE COUNTY CHILDREN'S SERVICE CENTER |
| Practice Address |
520 N Chestnut St Ravenna OH 44266-2218 |
| Practice Telephone | 3302965552 |
| Practice Fax Number | 3302966126 |
| Mailing Telephone | 3302965552 |
| Mailing Fax Number | 3302966126 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | MICHELLE LEE HURD (FISCAL SUPERVISOR) |
| Authorized Official Telephone | 3302965552 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's Advantage | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487918348 | Portage County Children's Service Center | Public Health or Welfare | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2012-06-26 |
| Street Address |
520 N CHESTNUT ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750337838 | Portage County Children's Services Center | Clinic/Center | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2006-05-26 |
| 1861001364 | Kalie Rogers | Counselor | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2020-07-30 |
| 1558917393 | Kelli Swigeart | Counselor | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2019-08-16 |
| 1952956526 | Dania King | Counselor | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2019-08-09 |
| 1629623285 | Ellen Shafer | Case Manager/Care Coordinator | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2019-08-09 |
| 1356996029 | Raven Thomas | Counselor | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2019-08-08 |
| 1245882471 | Heidi Skinner | Case Manager/Care Coordinator | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2019-07-09 |
| 1477112175 | Rebecca Susany | Social Worker | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2019-06-07 |
| 1023672243 | Rebecca A Brown | Social Worker | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2019-04-23 |
| 1184197725 | Laura Michelle Thompson | Case Manager/Care Coordinator | 520 N Chestnut St, Ravenna, OH 44266-2218 | 2019-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435369 | Sunrise Treatment Center, LLC | Clinic/Center | 1718 Central Pkwy, Cincinnati, OH 45214-2355 | 2020-10-20 |
| 1922607266 | Full Circle Recovery of Circleville | Clinic/Center | 2065 Stoneridge Dr, Circleville, OH 43113-8956 | 2020-10-19 |
| 1689271827 | Chillicothe Acute Care Clinic, Inc. | Clinic/Center | 5555 Airport Hwy Ste 132, Toledo, OH 43615-7380 | 2020-10-01 |
| 1649894262 | Workit Health (oh) LLC | Clinic/Center | 5836 Del Ln, Waterville, OH 43566-9484 | 2020-05-29 |
| 1205455508 | Sunrise Treatment Center - Piqua | Clinic/Center | 1130 Garbry Rd, Piqua, OH 45356-8217 | 2020-04-16 |
| 1043863384 | Team Recovery Ohio, LLC | Clinic/Center | 1618 W Sylvania Ave, Toledo, OH 43612-1589 | 2019-07-16 |
| 1568926376 | Square One Health LLC | Clinic/Center | 620 W 44th St, Ashtabula, OH 44004-6812 | 2019-01-25 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1669942934 | Baymark Health Services of Ohio | Clinic/Center | 833 E Broad St Unit 1, Elyria, OH 44035-6557 | 2018-11-29 |
| 1841760113 | Baymark Health Services of Ohio | Clinic/Center | 36001 Euclid Ave Ste B1, Willoughby, OH 44094-4643 | 2018-11-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PORTAGE COUNTY CHILDREN'S SERVICE CENTER.
| 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.