YOUNGSTOWN COMMITTEE ON ALCOHOLISM, INC. (NPI# 1659853612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659853612 |
Entity Type | Organization |
Organization Name | YOUNGSTOWN COMMITTEE ON ALCOHOLISM, INC. |
Other Organization Name | NEIL KENNEDY RECOVERY CENTER |
Practice Address |
1044 Belmont Ave Youngstown OH 44504-1006 |
Mailing Address |
311 Rouser Rd Moon Township PA 15108-6801 |
Practice Telephone | 4126048900 |
Mailing Telephone | 4126048900 |
Mailing Fax Number | 4122998755 |
Enumeration Date | 2018-09-05 |
Last Update Date | 2020-01-13 |
Authorized Official Name | PAUL BACHARACH (PRESIDENT/CEO) |
Authorized Official Telephone | 4126048900 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2877507 | 05 |
Other Name | Type Code |
---|---|
Neil Kennedy Recovery Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316397821 | Youngstown Committee On Alcoholism, Inc. | Community/Behavioral Health | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2016-06-15 |
1952751463 | Youngstown Committee On Alcoholism, Inc. | Community/Behavioral Health | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2016-06-15 |
Street Address |
1044 BELMONT AVE |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44504-1006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043210495 | Select Specialty Hospital - Youngstown Inc | Long Term Care Hospital | 1044 Belmont Ave, Youngstown, OH 44501-1006 | 2005-07-28 |
1326659558 | Tiewei Cheng | Internal Medicine | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-08-11 |
1649892225 | Mercy Health Physicians Youngstown Specialty Care LLC | Allergy & Immunology | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-05-18 |
1023630936 | Dana Schwartz | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-05-13 |
1861012346 | Margaret Jane Gibson | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-24 |
1801416425 | Courtney Colles | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-23 |
1427678218 | Jordynn Pozzuto | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-21 |
1518587799 | Bryan Wang | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-17 |
1528687381 | Alexis Lynn De La Cruz | Radiology | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-13 |
1467071290 | Garrett Andrew Frank | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
Find all providers in zip 44504 |
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 |
---|---|---|---|---|
1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
1558881474 | Pamela Lynn Wargo | Substance Abuse Rehabilitation Facility | 2151 Rush Boulevard, Youngstown, OH 44507 | 2017-06-21 |
1104246859 | Conscious Living for Better Living | Substance Abuse Rehabilitation Facility | 3713 Castle Ct, Youngstown, OH 44511-2979 | 2014-04-21 |
1528074366 | Addiction Programs of Mahoning County, Inc. | Substance Abuse Rehabilitation Facility | 2516 Market St, Youngstown, OH 44507-1421 | 2006-08-01 |
1023084910 | Lincoln Behavioral Healthcare, LLC | Substance Abuse Rehabilitation Facility | 800 E Indianola Ave, Youngstown, OH 44502-2310 | 2006-02-28 |
1619582376 | Shaqualah Renee Johnson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2020-09-10 |
1124589759 | H O P E Counseling and Addiction Services LLC | Substance Abuse Rehabilitation Facility | 1319 Florencedale Ave, Youngstown, OH 44505-2719 | 2019-03-27 |
1720595622 | Janet Rose Jackson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2018-01-02 |
1801324785 | Gloria Ann Wells | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2017-05-23 |
1013444256 | Faye Charmaine Miller | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2017-05-18 |
Find all providers in YOUNGSTOWN |
City | YOUNGSTOWN |
Zip Code | 44504 |
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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.