YORK AVENUE CHURCH OF GOD TREATMENT CENTER (NPI# 1407820343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407820343 |
Entity Type | Organization |
Organization Name | YORK AVENUE CHURCH OF GOD TREATMENT CENTER |
Practice Address |
1228 W Market St Warren OH 44485-2780 |
Practice Telephone | 3303924199 |
Practice Fax Number | 3303924904 |
Mailing Telephone | 3303924199 |
Mailing Fax Number | 3303924904 |
Enumeration Date | 2006-02-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JOHNNY GRAHAM (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3303924199 |
Authorized Official Credential | LICDC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251B00000X | Case Management | 6949 | OH | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | UCI NUMBER | 06949 | 01 |
Street Address |
1228 W MARKET ST |
City | WARREN |
State | OH |
Zip Code | 44485-2780 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
1730576315 | Jeanetta Chatmon | Community Health Worker | 1447 Kensington St. Nw, Warren, OH 44485 | 2015-04-21 |
1003201351 | Laneka Oliver | Home Health | 1655 Denison Ave, Warren, OH 44485 | 2015-04-03 |
1437401155 | Rhoda Darlene Killingworth | Nurse's Aide | 1510 Arthur Dr Nw, Warren, OH 44485 | 2012-10-04 |
1477844033 | Lakshmi Padmanabhan | Pharmacist | 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 | 2011-04-29 |
1225332422 | Dashah Brendae Adams | Licensed Practical Nurse | 3270 Dunstan Dr. Nw, Warren, OH 44485 | 2011-01-03 |
1982854188 | Deanna Lynne Nussle | Registered Nurse | 1480 Tod Ave, Warren, OH 44485 | 2008-09-24 |
1003093170 | Kila E Mcghee | Home Health | 1108 Tod Ave Nw, Warren, OH 44485 | 2008-01-30 |
1639372816 | Stella L Reese | Home Health Aide | 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 | 2007-06-06 |
1417016239 | Laura Marie Buck | Counselor | Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 | 2006-12-07 |
Find all providers in zip 44485 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
1871553123 | Community Solutions Association | Case Management | 320 High St Ne, Warren, OH 44481-1222 | 2006-03-23 |
1831168806 | State of Ohio Office of Budget and Management, State Accounting | Case Management | 418 Main Ave Sw, Suite 100, Warren, OH 44481-1060 | 2006-03-14 |
1457322448 | Burdman Group, Inc. | Case Management | 3120 W Market St, Warren, OH 44485-3069 | 2006-01-30 |
1407247422 | Forest Warren Mental Wellness Association | Case Management | 1885 Market St, Warren, PA 16365-1227 | 2015-02-12 |
1992086144 | Premier Care Warren | Case Management | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2011-09-01 |
1669612339 | Sacred Heart Rehabilitation Center | Case Management | 8150 Old 13 Mile Rd, Suite 100, Warren, MI 48093-8700 | 2009-02-20 |
1679781330 | Msad 40 | Case Management | 44 School St, Warren, ME 04864-4259 | 2007-05-18 |
1609972561 | Millennium Treatment Services,llc | Case Management | 23700 Van Dyke Ave, Warren, MI 48089-1669 | 2006-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073714 | Jenny Mccloy | Case Management | 1361 W Main St, Zanesville, OH 43701-3123 | 2020-11-05 |
1780281634 | Healing Courageously LLC | Case Management | 3459 Cheltenham Rd Apt 12, Toledo, OH 43606-1881 | 2020-10-05 |
1992312896 | Mindful Behavioral Care LLC | Case Management | 600 Regina Pkwy, Toledo, OH 43612-3328 | 2020-09-25 |
1629685482 | Nevaeh Care LLC | Case Management | 140 Grand Trunk Ave Sw Ste E, Hartville, OH 44632-9681 | 2020-09-25 |
1336753110 | Momma's House Community Development Center, Inc. | Case Management | 600 Saint Joseph St, Fremont, OH 43420-4636 | 2020-08-31 |
1831702349 | Cared for Services LLC | Case Management | 973 Wyley Ave, Akron, OH 44306-2412 | 2020-08-25 |
1124638838 | Onebridge Support Services, LLC | Case Management | 387 Medina Rd Ste 600, Medina, OH 44256-9674 | 2020-08-06 |
1184240210 | Christopher Parrish | Case Management | 25850 Zeman Ave, Euclid, OH 44132-1821 | 2020-06-24 |
1811513799 | Big Brothers Big Sisters of East Central Ohio Inc | Case Management | 1260 Monroe St Nw Ste 100d, New Philadelphia, OH 44663-4160 | 2020-06-17 |
1851911291 | Step Higher Inc.-nellas Place | Case Management | 2648 Melrose Ave, Cincinnati, OH 45206-1602 | 2020-04-24 |
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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.