STELLA MARIS, INC. (NPI# 1669494274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669494274 |
| Entity Type | Organization |
| Organization Name | STELLA MARIS, INC. |
| Practice Address |
1320 Washington Ave Cleveland OH 44113-2333 |
| Practice Telephone | 2167810550 |
| Practice Fax Number | 2167817501 |
| Mailing Telephone | 2167810550 |
| Mailing Fax Number | 2167817501 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-19 |
| Authorized Official Name | MRS. MARGARET ROCHE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2167810550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | OH | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UPI | 1072 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487927802 | Stella Maris, Inc. | Clinic/Center | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2012-02-15 |
| 1174572168 | Stella Maris, Inc. | Clinic/Center | 1292 Winslow Ave, Cleveland, OH 44113-2334 | 2006-05-08 |
| 1750911376 | Stella Maris, Inc. | Clinic/Center | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-01-23 |
| 1366708638 | Stella Maris, Inc. | Clinic/Center | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2012-04-11 |
| 1497859938 | Stella Maris, Inc. | Custodial Care Facility | 2300 Dulaney Valley Rd, Lutherville, MD 21093-2739 | 2006-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STELLA MARIS, INC. | 360 West 11th Street, New York, New York 10014 |
| Oregon Corporations, Companies and Business Names | STELLA MARIS, INC. | 2700 East 9th St Ste 300, Newberg, OR 97132 |
| Street Address |
1320 WASHINGTON AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514142 | Sandra Celina Blandon | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-10-01 |
| 1083221212 | Antoinette Marie Whitticar | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-10-01 |
| 1073130993 | David Villa | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-06-26 |
| 1144855644 | Regina Titus | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-03-05 |
| 1750911376 | Stella Maris, Inc. | Clinic/Center | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-01-23 |
| 1750923926 | Mark Dillard | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-10-09 |
| 1174182919 | Michael Joseph Mazur | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-06-06 |
| 1013575919 | Regina Edmondson | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-06-05 |
| 1780145276 | Sarah Davis | Registered Nurse | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-03-27 |
| 1437610250 | Lonnie Williams | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2019-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437690906 | Southwest General Health Center | Rehabilitation, Substance Use Disorder Unit | 7265 Old Oak Blvd, Cleveland, OH 44130-3342 | 2017-03-16 |
| 1083637912 | St Vincent Charity Medical Center | Rehabilitation, Substance Use Disorder Unit | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538560693 | Dayton Corectional Institution | Rehabilitation, Substance Use Disorder Unit | 4104 Germantown Pike, Dayton, OH 45417-6118 | 2014-09-09 |
| 1700292604 | Denise Presley | Rehabilitation, Substance Use Disorder Unit | 1532 Glenway St, Toledo, OH 43607-1118 | 2014-07-11 |
| 1417037268 | Dayton Veterans Affairs Medical Center | Rehabilitation, Substance Use Disorder Unit | 3547 Far Hills Ave, Kettering, OH 45429-2501 | 2006-10-16 |
| 1073132494 | Bethany Inc | Rehabilitation, Substance Use Disorder Unit | 867 W Town St Ste 102, Columbus, OH 43222-1694 | 2020-04-15 |
| 1235694639 | Md Connect Solutions LLC | Rehabilitation, Substance Use Disorder Unit | 1755 Lancaster Ave, Reynoldsburg, OH 43068-3108 | 2019-02-10 |
| 1760960843 | Erie County Office of Auditor | Rehabilitation, Substance Use Disorder Unit | 420 Superior St, Sandusky, OH 44870-1849 | 2018-08-01 |
| 1629560172 | Neurobehavioral Medicine Consultants, PC, Inc. | Rehabilitation, Substance Use Disorder Unit | 4697 Harrison St, Sud Unit, Bellaire, OH 43906 | 2018-05-31 |
| 1851845275 | Advanced Recovery Services | Rehabilitation, Substance Use Disorder Unit | 326 S High St, Ste 200, Columbus, OH 43215-4525 | 2016-08-15 |
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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.