PINNACLE TREATMENT CENTERS OH-XII, LLC (NPI# 1790301869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790301869 |
| Entity Type | Organization |
| Organization Name | PINNACLE TREATMENT CENTERS OH-XII, LLC |
| Practice Address |
1036 Cleveland Rd Sandusky OH 44870-4034 |
| Mailing Address |
1317 Route 73 Ste 200 Mount Laurel NJ 08054-2202 |
| Practice Telephone | 4195040068 |
| Mailing Telephone | 8564396111 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Telephone | 8565338762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sandusky Treatment Services | Doing Business As Name - Organization |
| Street Address |
1036 CLEVELAND RD |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821778 | Samantha Kamann | Registered Nurse | 1036 Cleveland Rd, Sandusky, OH 44870-4034 | 2020-11-02 |
| 1760083307 | Christine Annehope Nowak Lange | Licensed Practical Nurse | 1036 Cleveland Rd, Sandusky, OH 44870-4034 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| Find all providers in zip 44870 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343844 | Premier Care of Ohio, LLC. | Clinic/Center | 5 Severance Cir Ste 101, Cleveland Heights, OH 44118-1513 | 2020-10-15 |
| 1740815380 | Baymark Health Services of Ohio, Inc. | Clinic/Center | 2500 State Route 59 Ste 28&30, Kent, OH 44240-7105 | 2020-03-04 |
| 1811534324 | Baymark Health Services of Ohio | Clinic/Center | 45 Lazelle Rd, Columbus, OH 43235-1429 | 2019-12-03 |
| 1285280453 | New Season of Ohio, Lp | Clinic/Center | 1387-1389 Georgesville Road, Columbus, OH 43228-3611 | 2019-08-14 |
| 1831745355 | New Season of Ohio, Lp | Clinic/Center | 128 E Front St, Findlay, OH 45840-4813 | 2019-08-12 |
| 1104472620 | New Season of Ohio, Lp | Clinic/Center | 2765 E 55th St, Cleveland, OH 44104-2856 | 2019-08-12 |
| 1932755451 | New Season of Ohio, Lp | Clinic/Center | 8785 Mentor Ave, Mentor, OH 44060-6209 | 2019-08-12 |
| 1669028189 | New Season of Ohio, Lp | Clinic/Center | 6300 Brookpark Rd, Cleveland, OH 44129-1219 | 2019-08-12 |
| 1013563535 | New Season of Ohio, Lp | Clinic/Center | 20700 Libby Rd Unit 256, Maple Heights, OH 44137-2925 | 2019-08-12 |
| 1548815343 | New Season of Ohio, Lp | Clinic/Center | 1900 W Market St Ste 100, Akron, OH 44313-6927 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PINNACLE TREATMENT CENTERS OH-XII, LLC.
| 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.