Active NPI
Lincoln Behavioral Healthcare, LLC
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Youngstown, OH
National Provider Identifier
1023084910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- LINCOLN BEHAVIORAL HEALTHCARE, LLC
- Practice address
- 800 E Indianola Ave
Youngstown, OH 44502-2310 - Phone
- (330) 788-9977
- Fax
- (330) 788-6084
- NPI assigned
- Feb 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruby Breneman
- Title
- Billing Specialist
- Phone
- (330) 788-9977
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | OH | ||
| Community/Behavioral Health Agency | 251S00000X | OH | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | OH | Primary | |
| Substance Abuse Rehabilitation Facility | 324500000X | OH |
Addresses
Primary practice location
800 E Indianola Ave
Youngstown, OH 44502-2310
Mailing address
800 E Indianola Ave
Youngstown, OH 44502-2310
Phone (330) 788-9977
National Provider Directory
National Provider Directory- Tax ID family
- Lincoln Behavioral Health Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Youngstown, OH
- NPI 1558465104
Locations
800 E Indianola Ave
Youngstown, OH 44502
Phone (330) 788-9977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1023084910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E INDIANOLA AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445022310",
"telephone_number": "330-788-9977",
"fax_number": "330-788-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E INDIANOLA AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445022310",
"telephone_number": "330-788-9977",
"fax_number": "330-788-6084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN BEHAVIORAL HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "BRENEMAN",
"authorized_official_first_name": "RUBY",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "330-788-9977"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.