PRIMARY CARE SOLUTIONS OF OHIO INCORPORATED (NPI# 1417501305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417501305 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE SOLUTIONS OF OHIO INCORPORATED |
| Practice Address |
500 Madison Ave Toledo OH 43604-1222 |
| Practice Telephone | 5673128700 |
| Practice Fax Number | 5673128793 |
| Mailing Telephone | 5673128700 |
| Mailing Fax Number | 5673128793 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | TANESHIA SLATER (VP OF OPERATIONS) |
| Authorized Official Telephone | 4196720143 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMARY CARE SOLUTIONS OF OHIO INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1336 E Main St, Columbus, OH 432052081 | 6149148781 | 6149148941 |
| 2940 Noble Rd, Cleveland Heights, OH 441212254 | 2167955066 | 2167955495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049346 | Primary Care Solutions of Ohio Incorporated | Transportation Broker | 500 Madison Ave, Toledo, OH 43604-1222 | 2019-12-05 |
| 1811379845 | Primary Care Solutions of Ohio Incorporated | Substance Abuse Rehabilitation Facility | 500 Madison Ave, Suite 300, Toledo, OH 43604-1222 | 2015-06-25 |
| Street Address |
500 MADISON AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446281 | Dominique Andre Walker | Case Manager/Care Coordinator | 500 Madison Ave, Toledo, OH 43604-1222 | 2020-10-29 |
| 1356957559 | Joseph M Davis II | Case Manager/Care Coordinator | 500 Madison Ave, Toledo, OH 43604-1222 | 2020-09-22 |
| 1780209239 | Albert Earl Jr. | Case Manager/Care Coordinator | 500 Madison Ave, Toledo, OH 43604-1222 | 2020-06-10 |
| 1689297616 | Shawn Mahone Sr. | Case Manager/Care Coordinator | 500 Madison Ave, Toledo, OH 43604-1222 | 2020-05-26 |
| 1962049346 | Primary Care Solutions of Ohio Incorporated | Transportation Broker | 500 Madison Ave, Toledo, OH 43604-1222 | 2019-12-05 |
| 1972098101 | Randolyn Cooper | Case Manager/Care Coordinator | 500 Madison Ave, Ste. 500, Toledo, OH 43604 | 2018-06-29 |
| 1700371200 | Ana M Keneni | Community/Behavioral Health | 500 Madison Ave, Toledo, OH 43604-1222 | 2018-06-27 |
| 1114418282 | Andrea Jo'lea Davis | Social Worker | 500 Madison Ave, Toledo, OH 43604-1222 | 2018-05-24 |
| 1457842619 | Ricardo J Thomas | Case Manager/Care Coordinator | 500 Madison Ave, Toledo, OH 43604-1222 | 2018-05-23 |
| 1659862894 | Mikita Nicole Bush | Counselor | 500 Madison Ave, Toledo, OH 43604-1222 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
| Find all providers in zip 43604 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720347818 | New Directions, Inc. | Substance Abuse Rehabilitation Facility | 30800 Chargrin Boulevard, Cleveland, OH 44124 | 2012-05-09 |
| 1447451604 | New Directions, Inc | Substance Abuse Rehabilitation Facility | 2710 Daisy Ave, Cleveland, OH 44109 | 2007-05-29 |
| 1710019112 | Syntaxis Youth Homes, Inc. | Substance Abuse Rehabilitation Facility | 2824 Joyce Ave, Columbus, OH 43211-1793 | 2007-03-12 |
| 1093892853 | Starr Commonwealth | Substance Abuse Rehabilitation Facility | 301 Obetz Road, Columbus, OH 43207 | 2006-11-01 |
| 1336256346 | House of Hope for Alcoholics | Substance Abuse Rehabilitation Facility | 825 Dennison Ave, Columbus, OH 43215-1315 | 2006-08-24 |
| 1114966512 | Geauga County Sheriffs Office | Substance Abuse Rehabilitation Facility | 12450 Merritt Road, Chardon, OH 44024-9010 | 2006-06-05 |
| 1972540037 | Ohio Department of Youth Services | Substance Abuse Rehabilitation Facility | 8101 Dublin Rd, Delaware, OH 43015-8892 | 2006-05-31 |
| 1790753200 | The Way Station, Inc. | Substance Abuse Rehabilitation Facility | 432 W Fifth St, East Liverpool, OH 43920-2467 | 2006-03-09 |
| 1447888912 | Gordrell Enterprises LLC | Substance Abuse Rehabilitation Facility | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-03-31 |
| 1043793169 | Brandon Stone | Substance Abuse Rehabilitation Facility | 2775 State Route 39, Shelby, OH 44875-9466 | 2018-09-13 |
| Find all providers with the same taxonomy | ||||
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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.