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PREMIER CARE OF OHIO LLC. NPI 1396343844


NPI Information

NPI: 1396343844
Provider Name: PREMIER CARE OF OHIO, LLC.

Doing Business As: COMMUNITY MEDICAL SERVICES CLEVELAND HEIGHTS

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 36D2187721

Address:
5 SEVERANCE CIR STE 101
CLEVELAND HEIGHTS, OH
ZIP 44118
Phone: (216) 859-8300
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PREMIER CARE OF OHIO, LLC. is a methadone clinic center in Cleveland Heights, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. PREMIER CARE OF OHIO, LLC. NPI is 1396343844. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Medical Services Cleveland Heights.

The provider's business location address is:

5 SEVERANCE CIR STE 101
CLEVELAND HEIGHTS, OH
ZIP 44118-513
Phone: (216) 859-8300
Fax: (920) 926-0060

The provider's authorized official is Cindy Gaither .
The authorized official title is Vp Revenue Cycle Mgmt and has the following contact phone number (602) 248-8886.

The CLIA number assigned to this NPI record is 36D2187721 - other - outpt treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2020 and was last updated on 2/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4101YA0400XCounselorAddiction (Substance Use Disorder)No
5261QM2800XClinic/CenterMethadoneYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.