MIKLAT RECOVERY (NPI# 1447728902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447728902 |
| Entity Type | Organization |
| Organization Name | MIKLAT RECOVERY |
| Practice Address |
2490 Lee Blvd Ste 319 Cleveland OH 44118-1271 |
| Practice Telephone | 4143797663 |
| Mailing Telephone | 4143797663 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Authorized Official Name | MR. AHARON FERGUSSON (OWNER) |
| Authorized Official Telephone | 4143797663 |
| 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 |
|---|---|
| Asurgent Health | Doing Business As Name - Organization |
| Street Address |
2490 LEE BLVD STE 319 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44118-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| 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 |
|---|---|---|---|---|
| 1790095297 | A New Beginning Sober Living | Substance Abuse Rehabilitation Facility | 11402 Avon Ave, Cleveland, OH 44105-4304 | 2010-10-18 |
| 1497871719 | Community Assessment and Treatment Services, Inc | Substance Abuse Rehabilitation Facility | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2007-03-21 |
| 1477623981 | Fresh Start, Inc. | Substance Abuse Rehabilitation Facility | 4807 Cedar Ave, Cleveland, OH 44103-4437 | 2006-11-09 |
| 1851470603 | Orca House | Substance Abuse Rehabilitation Facility | 1909 E 89th St, Cleveland, OH 44106-2007 | 2006-11-03 |
| 1407931314 | Orca House, Inc | Substance Abuse Rehabilitation Facility | 1914 E 90th St, Cleveland, OH 44106-2082 | 2006-10-26 |
| 1144302795 | Orca House, Inc. | Substance Abuse Rehabilitation Facility | 1905 E 89th St, Cleveland, OH 44106-2007 | 2006-10-20 |
| 1740373992 | Eastside Catholic Center & Shelter | Substance Abuse Rehabilitation Facility | 13211 Chapelside Ave, Cleveland, OH 44120-4605 | 2006-10-02 |
| 1447342696 | Hispanic Urban Minority Alcoholism and Drug Abuse Outreach Program, In | Substance Abuse Rehabilitation Facility | 2202 Prame Avenue, Cleveland, OH 44109-1613 | 2006-09-28 |
| 1346331501 | East Side Catholic Center & Shelter | Substance Abuse Rehabilitation Facility | 4500 Kennard Ct, Cleveland, OH 44104-1321 | 2006-09-27 |
| 1104927417 | Eastside Catholic Center & Shelter | Substance Abuse Rehabilitation Facility | 11701 Shaker Blvd, Cleveland, OH 44120-1956 | 2006-09-26 |
| Find all providers in CLEVELAND | ||||
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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.