SUGAR GROVE MBH-GA, LLC (NPI# 1346743481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346743481 |
| Entity Type | Organization |
| Organization Name | SUGAR GROVE MBH-GA, LLC |
| Other Organization Name | THE HIGHLANDS AT SUGAR GROVE |
| Practice Address |
133 Hedrick Dr Sugar Grove WV 26815-5068 |
| Mailing Address |
Po Box 4107 Charleston WV 25364-4107 |
| Practice Telephone | 3043481079 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Authorized Official Name | DR. CYNTHIA PERSILY (CEO) |
| Authorized Official Telephone | 3043481421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Highlands at Sugar Grove | Doing Business As Name - Organization |
| Street Address |
133 HEDRICK DR |
| City | SUGAR GROVE |
| State | WV |
| Zip Code | 26815-5068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326147463 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 63, Sugar Grove, WV 26815 | 2006-09-22 |
| 1558567511 | Naval Information Operations | Clinic/Center | 63 Hedrick Dr, Sugar Grove, WV 26815-5000 | 2007-06-26 |
| 1013529445 | Linda Marie Wimer | Technician | 510 Misty Mountain Dr, Sugar Grove, WV 26815-7084 | 2020-08-18 |
| 1497366801 | Patricia A. Rexrode | Technician | 2709 Thorn Creek Rd, Sugar Grove, WV 26815-7528 | 2020-08-11 |
| 1790399459 | Nancy Pultz | Technician | 72 Windy Mountain Ln, Sugar Grove, WV 26815-7574 | 2020-09-01 |
| 1730368226 | Jack Arnold Bowers | Dentist | Hc 63 Box 57, Sugar Grove, WV 26815-9501 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366411 | Jung Tao School of Classical Chinese Medicine | Acupuncturist | 207 Dale Adams Rd, Sugar Grove, NC 28679-9657 | 2020-11-06 |
| 1043824469 | Susan Bowden | Speech-Language Pathologist | 3s611 Finley Rd, Sugar Grove, IL 60554-9665 | 2020-09-02 |
| 1790399459 | Nancy Pultz | Technician | 72 Windy Mountain Ln, Sugar Grove, WV 26815-7574 | 2020-09-01 |
| 1013529445 | Linda Marie Wimer | Technician | 510 Misty Mountain Dr, Sugar Grove, WV 26815-7084 | 2020-08-18 |
| 1497366801 | Patricia A. Rexrode | Technician | 2709 Thorn Creek Rd, Sugar Grove, WV 26815-7528 | 2020-08-11 |
| 1861027666 | Linda W Brinkman | Dietitian, Registered | 3s854 Finley Rd, Sugar Grove, IL 60554 | 2020-03-12 |
| 1336773977 | Steven Limbrunner | Specialist/Technologist | 1876 Fays Ln, Sugar Grove, IL 60554-9767 | 2020-02-22 |
| 1528607066 | Candice Grace Dubeau | Counselor | 1312 Slater St, Sugar Grove, IL 60554-9823 | 2020-01-01 |
| 1093351934 | Danielle M Ortiz | Behavior Technician | 1241 Dorr Dr, Sugar Grove, IL 60554-5469 | 2019-11-26 |
| 1770140493 | Ida Rosa Lampignano | Nurse Practitioner | 882 Edgewood Dr, Sugar Grove, IL 60554-9272 | 2019-05-29 |
| Find all providers in SUGAR GROVE | ||||
| 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 |
|---|---|---|---|---|
| 1780133504 | Mental Health and Additive Services | Substance Abuse Rehabilitation Facility | Rr 1 Box 549, Sugar Grove, OH 43155-9627 | 2016-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760037014 | Recovery Point West Virginia Behavioral Health Inc | Substance Abuse Rehabilitation Facility | 419 12th St, Huntington, WV 25701-2212 | 2019-08-05 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1952883019 | Advocate House Inc | Substance Abuse Rehabilitation Facility | 738 Washington Ave, Huntington, WV 25701-1056 | 2018-09-05 |
| 1205354479 | Re-entry and Recovery Network | Substance Abuse Rehabilitation Facility | 2045 9th Ave, Huntington, WV 25703-1801 | 2017-09-07 |
| 1588189997 | Palms Resource Center | Substance Abuse Rehabilitation Facility | 303 Olive St, Huntington, WV 25705-1520 | 2017-08-07 |
| 1770018855 | New Beginnings Drug Treatment Center Inc | Substance Abuse Rehabilitation Facility | 4855 Mccorkle Ave Sw, New Beginnings Drug Treatment Center Inc, South Charleston, WV 25309-1331 | 2017-04-26 |
| 1467900514 | New Beginnings Drug Treatment Center | Substance Abuse Rehabilitation Facility | 5257 Big Tyler Rd, Cross Lanes, WV 25313-1839 | 2016-09-19 |
| 1316394679 | Open Minds Recovery Services | Substance Abuse Rehabilitation Facility | 101 Martin Dr, Mount Hope, WV 25880-1509 | 2016-05-17 |
| 1639733744 | Hope for Tomorrow | Substance Abuse Rehabilitation Facility | 3471 Ohio River Rd, Point Pleasant, WV 25550-4401 | 2019-04-24 |
| 1629533187 | University Physicians & Surgeons, Inc. | Substance Abuse Rehabilitation Facility | 1012 7th Ave, Huntington, WV 25701-2391 | 2019-02-08 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR GROVE |
| Zip Code | 26815 |
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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.