Organization Active NPI

Lincoln Behavioral Healthcare, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Youngstown, OH
National Provider Identifier
1023084910
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
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

Updated by the provider on Apr 17, 2008

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)CodeLicenseStatePrimary
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 Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.