MIDWEST RECOVERY CENTER, LLC (NPI# 1598242281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598242281 |
| Entity Type | Organization |
| Organization Name | MIDWEST RECOVERY CENTER, LLC |
| Other Organization Name | OHIO TREATMENT CENTER |
| Practice Address |
4747 Monroe St Toledo OH 43623 |
| Mailing Address |
4747 Monroe St Toledo OH 43623-4307 |
| Practice Telephone | 8334408648 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | MICHAEL SILBERMAN (CEO) |
| Authorized Official Telephone | 4108078471 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDWEST RECOVERY CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHMAS STATE LICENSE | 01-7639 | 01 |
| Other Name | Type Code |
|---|---|
| Ohio Treatment Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 W State St, North Baltimore, OH 458721332 | 8334408648 | |
| 7540 New West Rd, Toledo, OH 436174200 | 8662030308 |
| Street Address |
4747 MONROE ST |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144735796 | Rachel Marie Mattson | Case Manager/Care Coordinator | 4747 Monroe St, Toledo, OH 43623-4307 | 2017-12-05 |
| 1114526365 | Amanda Moore | Counselor | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-20 |
| 1083212500 | Amber Shockey | Counselor | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-16 |
| 1437757952 | Taylor Ritenour | Counselor | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-16 |
| 1942808514 | Joanie Patrick | Counselor | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-15 |
| 1447858212 | Hannah Mcginley | Social Worker | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-14 |
| 1356949044 | Staci Mitchell | Counselor | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-14 |
| 1083212773 | Kelsey Huff | Counselor | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-14 |
| 1851999791 | Cora Zickel | Social Worker | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-13 |
| 1649877333 | Lindsay Burroughs | Counselor | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-06 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
| 1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
| Find all providers in zip 43623 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1043863384 | Team Recovery Ohio, LLC | Clinic/Center | 1618 W Sylvania Ave, Toledo, OH 43612-1589 | 2019-07-16 |
| 1144728833 | Peer Recovery Solutions | Clinic/Center | 5810 Southwyck Blvd Ste 100, Toledo, OH 43614-1514 | 2018-01-27 |
| 1255852992 | Midwest Recovery Center LLC | Clinic/Center | 7540 New West Rd, Toledo, OH 43617 | 2017-07-03 |
| 1295287050 | Amal Center of Hope LLC | Clinic/Center | 1301 Broadway St, Toledo, OH 43609-2809 | 2016-10-27 |
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| 1922607266 | Full Circle Recovery of Circleville | Clinic/Center | 2065 Stoneridge Dr, Circleville, OH 43113-8956 | 2020-10-19 |
| 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 |
| 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 |
| 1124597182 | Silver Maple Recovery, LLC | Clinic/Center | 2101 All Pro Athletic Ave, Lorain, OH 44053-2380 | 2018-11-20 |
| 1043785751 | Linden Focus | Clinic/Center | 1570 Cleveland Ave Ste 2, Columbus, OH 43211-2755 | 2018-10-09 |
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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.